New Members Application - Home Builders Associate of Central Virginia

Membership Application

Return completed application and membership dues check to:
Home Building Association of Central Virginia

21 Greystone Drive, Suite 2, Lynchburg, VA 24502

Click here to download a printable paper application or
fill out and submit the online application form below.

For additional information contact HBACV Executive Officer Matt Holley

Office Phone 434.386.8558 / Cell Phone: 434-942-5992 / Email: matt@hbacv.org

Company Name*
Representative's Name*
First Last Title
Address*
Street Address Address Line 2 City State ZIP Code
Business Phone*
Cell Phone
Email
What is the best way to reach you?*
- Business Phone
- Cell Phone
- Text
- Email
Business's Website
Briefly describe your business: Builder, Framer, Mortgage etc.*
Business Logo File for Member Directory
Accepted file types: jpg, png, jpeg.
I am applying to be a member as a*
- Builder
- Remodeler
- Associate
Number of Employees
Insurance Provider*
Business/Contractors’ license # **:
States/localities where licensed**
Annual number of homes built
Business volume in dollars (est.)
References*
Business Name Contact Name Phone Number

List members with whom you do business. Click the + at the end of the row to add additional references.
Sponsor’s Name*
By entering your name here, you agree to the HBACV Code of Ethics*
To process your application:

Please Submit the Annual Dues
$495.00 - single fee covers memberships in local, state and national associations.

Make Checks Payable to Home Building Association of Central Virginia

Mail Check to:
Home Building Association of Central Virginia
20334 Timberlake Road; Suite 3
Lynchburg, VA 24502

The yearly dues gives our company listed above membership in three levels of Home Builders Associations:
- Home Builders Association of Central VA (HBACV),
- Home Builders Association of VA (HBAV)
- National Association of Home Builders (NAHB).
I agree to mail our yearly dues to the mailing address listed above for my application to be processed.*
- I agree.
IMPORTANT NOTICE:
Dues paid are deductible as an ordinary and necessary business expense. Payments made are NOT charitable contributions.
Please note that $12.50 of the state (HBAV) portion goes to the state Build-Pac fund. If you do not wish that money to go into that fund please enclose a note stating that.

By clicking submit, you are transmitting your application and information to the Home Building Association of Central Virginia and agreeing to mail your annual dues promptly to allow for processing of your application.
Name
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