Membership Application

Builder Application - $495.00

Associate Application - $445.00

*Affiliate - $320.00 (You must have one member under
your company already to join as an affiliate member.)

Do Business With a Member!

A portion of your state dues will be used for political purposes. You may deduct all but $13.00 of your $70 state dues, $27 of your $150 NAHB dues and $50.50 of your local dues as a business expense for income tax purposes. $10 of the state dues will go to the Builders Mean Business campaign to support our Political Action Committee. If a member is opposed to the dues going to Build PAC, please indicate this on the dues statement, and the $10 will go into the general fund of the Home Builder Association of Mississippi.

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* Required

Title

First Name *

Last Name *

Position

Company *

Work Address *

City *

State *

Zipcode/Postcode *

Country *

Work Phone Number *

Work Fax Number *

Email Address *

Cell Phone Number *

Web Address *

Type of Business (you may select up to 10) *

Number of Years in Business *

Recommended for membership by:

BUILDERS ONLY: License Number

Expiration Date

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Membership Application

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