(319) 233-0565
P. O. BOX 1857, WATERLOO, IOWA 50704
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BECOME A MEMBER
APPLICATION FOR MEMBERSHIP
Date of Application
*
MM slash DD slash YYYY
Name
*
First
M. I.
Last
Title
1 - President/CEO
2 - VP/General Manager
3 - Const. Superintendent
4 - Sales & Marketing Manager/Director
5 - Architect, Designer or Engineer
6 - Financial Manager/Director
7 - Owner, Principal, Partner
8 - Other (Specify)
If Other was selected, specify Title here:
Email
*
Phone
*
Company Name
*
Fax
*
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
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Australia
Austria
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Bahrain
Bangladesh
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Virgin Islands, U.S.
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Western Sahara
Yemen
Zambia
Zimbabwe
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Country
Membership Section
Indicate by selecting the best responses below that identify what your company's main construction category is.
Membership Type
*
Builder
Associate
Business Activity
*
Primary
Secondary
Tertiary
Builder Member Classification
A - Single Family Spc./Tract Building
B1 - Single Family General Contracting
B2 - Single Family Custom Building
C - Multifamily Buildin (Condo/Coop Units)
D - Multifamily Building/Ownership (Rental Units)
E - Multifamily General Contracting
F - Remodeling - Residential
G - Remodeling - Commercial
H - Commercial Building (Own Account)
I - Commercial General Contracting
J - Land Development
K - Manufacturing of Modular/Panelized/Log Homes
Select the most important business activities from the list of codes below.
Associate Member Classification
L - Accounting
M1 - Architecture
M2 - Engineering
M3 - Planner or Designer
N - Legal Services
O - Computer Products and Services
P1 - Commercial Banking/Thrift Institution
P2 - Mortgage Banking
Q - Insurance of Title Company
R - Marketing, Advertising or Public Relations
S - Building Material Manufacturing
T - Property Management
U - Real Estate
Y - Utilities
Z - Other (Specify to receive Builder Magazine)
Associate Members - select the most important business activities from the list of codes below.
Associate Member - Retail Dealers/Distributors
V1 - Appliances
V2 - Building Materials/Lumber
V3 - Floor Coverings
V4 - Painit/Wall Coverings
V5 - Other Retail Dealerships (Specify)
Retail Dealers/Distributors ONLY, select field
Associate Member - Subcontractors and Specialty Trade Contractors
W1 - Carpentry Work
W2 - Electrical Work
W3 - Masonry, Stone Work, Tile Setting,Plastering
W4 - Landscaping
W5 - Plumbing, Heating Air Conditioning
W6 - Roofing, Siding, Sheet Metal Work
W7 - Painting, Paper Hanging
W8 - Floor Laying, Other Floor Work
W9 - Concrete Work
WA - Excavation Work
WC - Land Surveyor
WD - Security Systems
WZ - Other Subcontractor (Specify)
Subcontractors and Specialty Trade Contractors ONLY, select field
Associate Member - Wholesale Dealers/Distributors
X1 - Appliances
X2 - Building Materials/Lumber
X3 - Floor Coverings
X4 - Paint/Wall Coverings
X5 - Other Wholesale Dealership (Specify)
Wholesale Dealers/Distributors ONLY, select field
Associate Member Classification "Other"
*
If Other was selected in any of the Associate Member categories above, please specify "Other" here
Company Volume
Builder and Associate Members, complete as is applicable
# of Employees
*
Enter the total paid employees, include the member in the total figure.
$ Volume
*
1 - Under $500,000
2 - $500,000 - $999,999
3 - $1 Million - $4,999,999
4 - $5 Million - $9,999,999
5 - $10 Million or more
6 - No Construction Activity
7 - NA
Approximate Annual Dollar Volume of new residential construction/development
# Units
*
1 - 0 Units
2 - 1 to 10 Units
3 - 11 to 25 Units
4 - 26 to 100 Units
5 - 101-500 Units
6 - Over 500 Units
7 - NA
Approximate Annual Number of residential units built in the last 12 months
How Did You Hear About Us?
References (Optional)
Did a current member tell you about Cedar Valley HBA?
*
Yes
No
If yes, who?
I agree to abide by the Constitution and By-Laws of the Local Association to which this membership application is directed, of the National Association of Home Builders of the United States with which it is affiliated, and of the affiliated, and of the affiliated State Association, Cedar Valley Home Builders Association. A remittance of $435.00 representing my annual membership dues in the affiliated Association accompanies this application. Of the amount remitted by me for annual dues, $10.00 is for a subscription for one year to the BUILDER magazine, published monthly, $10.00 for the NATION'S BUILDING NEWS, published biweekly except for July, August, and December, and $8.00 is for a subscription for one year to THE IOWA HOME BUILDER MAGAZINE, published bimonthly. Membership dues payments to the Cedar Valley Home Builders Association are not deductible as a charitable contribution for federal income tax purposes. HOWEVER, dues payments may be deductible as an ordinary and necessary business expense, subject to exclusion to lobbying activity. A portion of your dues is used for lobbying by NAHB and HBAI. For 2019, 19% of the National Dues or $38.00 is not deductible for income tax purposes. HBAI pays the necessary proxy tax on all State memberships for lobbying activities.
Applicant Signature
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