Membership Applicationhbacm.com/media/7073/Pgf7X1lwsLyL.pdffor affiliate membership) Certificate of Insurance (attach or have agent fax to 989-775-7748) Were you a member previously?
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Become a member of the Home Builders Association of Central Michigan! Visit our office at: 2026 Independence Drive Suite C, Mount Pleasant, 48858 or online at HBACM.COM Phone: (989)775-7747 Fax: (989) 775-7748 Carmelina Crisci, CEO HBA of Central Michigan Central Michigan Plan Room [email protected](989) 775-7747 A remittance of $470.00 representing my annual membership dues: Fax a completed application to (989)775-7748 or email it to [email protected]Discover the benefits: ü Discounts and rebates that will allow you to make your dues back and more! ü Networking opportunities ü Updates on codes and laws ü Sought-after representation with lawmakers ü 3-in-1 Membership: Local, State, and National Membership Application Name of Representative: _________________________________ Title: ____________________________________ Company Name:___________________________________________ Phone: (______)________________ Fax: (______)________________ Business Address: _________________________________________ City/Zip: _________________________________________________ E-mail: ______________________ Website: ____________________ Mailing Address: ________________________________________ City/Zip: ______________________________________________ Cell:_________________________________ Membership: Builder: $470 State License # (attach copy): _____________________ Associate: $470 Business Focus: ________________________________ Affiliate: $25 (Your Company must hold a full membership first in order to be eligible for affiliate membership) Certificate of Insurance (attach or have agent fax to 989-775-7748) Were you a member previously? Yes___ No___ If yes, when? (approx. year) ____________ I hereby make application for membership in, and agree to abide by, the Bylaws of the Home Builders Association of Central Michigan, Inc., the Michigan Association of Home Builders, and the National Association of Home Builders, and certify that the statements above are correct. A remittance of $470.00 representing my annual membership dues for these affiliated Associations accompanies this application. Dues to HBAM and NAHB are not deductible as charitable contributions for federal income tax purposes. However, dues payments may be deductible as ordinary and necessary business expenses. I give the HBA of Central Michigan permission to make phone calls and send fax transmissions and e-mails to the above information. Referred by (member name):____________________________ 0f (Company Name)___________________________________ Signature:___________________________ Date:_________________ __Check Enclosed __ Visa __ Master Card __ American Express __ Discover Card Credit Card #:_________________________________V-Code:__________ Exp. Date:________ Zip Code:_________ Name on Card: _________________
