Please select your Member Classification and Categories below:

I. ___ Builder/Developer Builder License # _________________________ (REQUIRED)

Developers will be listed as a “Builder” member, but License # is not required. Please choose option J for business activity below.

Business License: City of Palm Coast: __________________ Flagler County: ________________ Other: ____________________

Circle the activity that best describes your company’s primary business (for Membership Directory Classification).

A Single Family Spec./Tract Building D Multifamily Building/Ownership (Rental Units) H Commercial Building (Own Account)

B1 Single Family General Contracting E Multifamily General Contracting I Commercial General Contracting

B2 Single Family Custom Building F Remodeling—Residential J Land Development

C Multifamily Building (Condo/Co-op Units) G Remodeling—Commercial K Manufacturing of Modular/Panelized/Log Homes

II. ___ Associate Member (all other business types except Builder or Developer)

STATE License# ___________________________ (Electrician/Plumber, etc)

Business Licenses: (required for businesses to operate in Palm Coast/Flagler County)

City of Palm Coast: _______________________________________ Flagler County: ___________________________________________

Other Counties: ___________________________________________________________________________________________________

Please list up to 3 categories that you would like to be listed under in our Member Directories:

____________________________________________ ____________________________________________ ____________________________________________

* Please provide to the HBA office your company logo, a 100 word description of your company and any photograph that you wish to appear in

our online membership directories and member spotlight on AtHomeinFlagler.com

MEMBER CLASSIFICATIONS

MAIN CONTACT INFORMATION

Please print the following information as you would like it to appear in the Member Directories:

Company Name ________________________________________________________ Preferred Phone Number (_______) ______________________

Contact Name _________________________________________________________ Title ________________________________________________

Website Address: www. _______________________________________________________________________________________________________

Mailing Address ________________________________________________________ City, State, ZIP _______________________________________

Cell Number (if different from Preferred) (_______) _____________________________ Birthday: Month ________ Day ________

Would you like to receive text alerts for upcoming events? ___ Yes ___ No

Email Address ______________________________________________________________________________________________________________ Facebook Address www.facebook.com/_______________________________________ Twitter @____________________________________________ CONSENT & PRIVACY POLICY: I understand that by providing my mailing address, email address, and telephone numbers, I consent to receive communications from the Flagler Home Builders Association, Florida Home Builders Association, and the National Association of Home Builders via U.S. Mail, email, telephone, at those numbers/locatio ns. I further understand the Flagler HBA does not sell, trade or disclose personal information to third parties, and that information provided is for membership purposes unless specified otherwise. Cell Phone numbers are not listed in our online membership directories unless: 1. You provide that number as your main contact # 2. You specifically request that number to be listed.

PLEASE COMPLETE BOTH SIDES OF APPLICATION

Flagler Home Builders Association

4863 Palm Coast Parkway, NW., Suite 1 Palm Coast, FL 32137

Phone: (386) 445.9399 Fax: (321) 400.1147

MEMBERSHIP

APPLICATION

2019

GET INVOLVED

Past experience has shown that members who become active in the Flagler HBA reap the most returns for their investment. In other

words—you get out of it what you put into it. One of the best ways to become involved is to participate on committees. Please indicate

your interests below:___ Parade of Homes Committee ___ Golf Tournament Committee ___ Membership Committee

___ Meet the Builders Committee ___ Government Affairs Committee ___ iFish Flagler Tournament Committee

DUES SCHEDULE

Annual 3-in-1 Membership Dues: Builder/Developer Member $645 Associate Member $545 Your annual dues amount includes membership dues to the Florida Home Builders Association (FHBA) and the National Association of

Home Builders (NAHB). Dues payments to the HBA are NOT deductible as charitable

You may list one additional contact from your company that you wish to receive emails/info from Flagler HBA about events/meetings:

Name______________________________________ Phone _________________________ Email _______________________________

MEMBERSHIP AGREEMENT STANDARDS:

Members of the Home Builders Association subscribe to the following:

Members shall consistently seek to provide better values for the customers they serve.

Members shall at all times share their knowledge with fellow members and the public in the best interest of those they serve.

Members shall not obtain any business by means of fraudulent statements or by use of implications unwarranted by fact or rea-sonable probability.

Members shall comply, both in spirit and letter, with rules and regulations prescribed by law and government agencies for the health, safety and progress of the community.

Members shall not perform or cause to be performed any act which would tend to reflect on or bring into disrepute any party of the industry served by this Association.

MEMBERSHIP AGREEMENT: By signing this application, I agree to abide by the By-Laws, Rules/Regulations & Standards of the Flagler

Home Builders Association (Flagler HBA), and its affiliates, the Florida Home Builders Association (FHBA) and the National Association of

Home Builders (NAHB). I acknowledge that by joining the Flagler HBA, should my membership dues lapse, I agree to no longer use the logos

of local, state or national. MY SPONSOR: __________________________ COMPANY ______________________

MEMBER SIGNATURE:_____________________________

PAYMENT INFORMATION

**FOR Flagler HBA USE ONLY**

Dues Amt. $_________

Pmt. Method _________

Date Rec’d _________

PIN # _________

Orientation :

FLAGLER HOME BUILDERS ASSOCIATION

A 501(C) (6) Professional Trade Association

Database _____________

NAHB _______________

QB ___________________

NTU_________________

BUILDER / Developer DUES $______________

Associate / Trades Dues $______________

Total Amount Enclosed $______________

Payment must accompany all applications. Annual dues are not

refundable. Checks payable to Flagler HBA, all major credit cards are

4863 Palm Coast Parkway, NW., Suite 1 Palm Coast, FL 32137 Phone: (386) 445.9399 Fax: (321) 400.1147

Email: flaglerhba@aol.com Web: www.FlaglerHBA.com www.FlaglerParadeofHomes.com www.AtHomeinFlagler.com