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MEMBERSHIP APPLICATION P.O. BOX 3615
l
QUINCY IL 62305
217.885.3636 l [email protected] 217-885-3686
GENERAL MEMBERSHIP MEETINGS 3rd Thursday of Month Picnic in June No Meeting July & August
APPLICATION FOR
MEMBERSHIP
www.quincyhomebuilders.com
Annual Dues: $400 $435
Member Type: (Please check one)
q Builder
q Associate
Payable to: HBAQ
Company Name:___________________________________________________________________ Company Representative:_____________________________________________________________ Mailing Address:____________________________________________________________________ Location Address:_____________________________________________________________________________ City, State, Zip:_____________________________________________________________________ Phone:__________________________________Fax:_____________________________________ Cell:_________________________________ e-mail:_____________________________________ Attached is my check #____________ in amount of $________________for one full year dues Please list, in 15 words or less; what products/services your company provides to the home building industry:
________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Builder Members Only: List Annual Numbers of Residental Dwelling Units #________________
Builder & Associate Members: List Total Number of Paid Employees, including the above Company Representative(s) #_____________
Membership Sponsored By: _________________________________________ I agree to abide by the Constitution and ByLaws of the HBA of Quincy(HBAQ), the National Association of Home Builders (NAHB) with which it is affiliated, and the Home Builders Association of Illinois (HBAI). A remittance of $435. $400.00 00, representing my annual membership dues is enclosed with this application. I understand that my Application for Membership cannot be processed without full payment of the annual dues. I understand that, by becoming an HBAQ member, I am entitled to use the HBAQ logo to promote my busIness and my membership in the Association. In the event I should cancel or discontinue my membership in the HBAQ, I hereby agree to remove and discontinue use of HBAQ logos and insignias on my correspondence, signs or vehicles. I have been informed that dues payments to HBAQ are not deductible as chartiable contributions for federal tax purposes. However, dues payments may be deductible as ordinary and necessary business expense, subject to an exclusion for lobbying activity. Because a portion of your dues is used for lobbying by NAHB, approximately 20% is not deductible for income tax purposes. My signature below indicates my agreement to abide by all conditions of HBAQ membership.
X____________________________________ Signature of Applicant
________________________ ____________ Title Date
l
QUINCY IL 62305
217.885.3636 l [email protected] 217-885-3686
GENERAL MEMBERSHIP MEETINGS 3rd Thursday of Month Picnic in June No Meeting July & August
APPLICATION FOR
MEMBERSHIP
www.quincyhomebuilders.com
Annual Dues: $400 $435
Member Type: (Please check one)
q Builder
q Associate
Payable to: HBAQ
Company Name:___________________________________________________________________ Company Representative:_____________________________________________________________ Mailing Address:____________________________________________________________________ Location Address:_____________________________________________________________________________ City, State, Zip:_____________________________________________________________________ Phone:__________________________________Fax:_____________________________________ Cell:_________________________________ e-mail:_____________________________________ Attached is my check #____________ in amount of $________________for one full year dues Please list, in 15 words or less; what products/services your company provides to the home building industry:
________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Builder Members Only: List Annual Numbers of Residental Dwelling Units #________________
Builder & Associate Members: List Total Number of Paid Employees, including the above Company Representative(s) #_____________
Membership Sponsored By: _________________________________________ I agree to abide by the Constitution and ByLaws of the HBA of Quincy(HBAQ), the National Association of Home Builders (NAHB) with which it is affiliated, and the Home Builders Association of Illinois (HBAI). A remittance of $435. $400.00 00, representing my annual membership dues is enclosed with this application. I understand that my Application for Membership cannot be processed without full payment of the annual dues. I understand that, by becoming an HBAQ member, I am entitled to use the HBAQ logo to promote my busIness and my membership in the Association. In the event I should cancel or discontinue my membership in the HBAQ, I hereby agree to remove and discontinue use of HBAQ logos and insignias on my correspondence, signs or vehicles. I have been informed that dues payments to HBAQ are not deductible as chartiable contributions for federal tax purposes. However, dues payments may be deductible as ordinary and necessary business expense, subject to an exclusion for lobbying activity. Because a portion of your dues is used for lobbying by NAHB, approximately 20% is not deductible for income tax purposes. My signature below indicates my agreement to abide by all conditions of HBAQ membership.
X____________________________________ Signature of Applicant
________________________ ____________ Title Date
