Caldwell County Home Builders Association
Application for Membership
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Please print this form.  Fill it out and mail with a check to:
CCHBA - PO Box 2639 - Lenoir, North Carolina 28645

Company Information                                                                                   Today’s Date:  ______________

Please circle one:             Builder-$320.00                 Associate-$320.00            Affiliate-$25.00

 Applicant’s Name: ___________________________________________ Title: ______________________

Company Name: _______________________________________________________________________

Mailing Address: _______________________________________________________________________

City: ____________________________ State: _________________ Zip: __________________________

Company Phone: ___________________ Cell Phone: ___________________ Fax: __________________

E-Mail: ____________________________________ Website: __________________________________

Bank / Credit References: _________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

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I agree to abide by the constitution and bylaws of the Caldwell County Home Builders Association, the National
Association of Home Builders of the United States with which it is affiliated, and the North Carolina Home Builders
Association.  A remittance fee of $320.00 for Builder/Associates and $25.00 for Affiliate representing my annual
membership dues accompanies this application.

Signature of Applicant: _________________________________________________________________

Name of Sponsor: _____________________________________________________________________

For any questions, please feel free to contact: LaRae Eldreth at (828) 217-9446 or caldwellhba@charter.net