Member Application

Your membership is a 3 - Tier Membership allowing you access to the Pocono Builders Association, the Pennsylvania Builders Association and the National Association of Home Builders. We look to adding you as a part of our organization! **BUILDER & RE-MODELER APPLICANTS ONLY: Please submit two (2) certificates of occupancy or permits with inspections completed. Failure to do so will require an inspection of two (2) projects in progress (preferably open frame). Please attach on separate sheet of paper name of the project, location, and directions and provide a set of blueprints for each house. Please mail all documents to: Pocono Builders Association, 745 Main St., Ste. 203, Stroudsburg, PA 18360.

Step 1:

Member Info

Company Name *

Please add your company name.

Phone *

Please add your company phone number.

Website *

Please add your company website.

Email *

Please add a valid email.

Physical Address

Address line 1 *

Please add your address.

Address line 2

Country *

Please add your country.

City *

Please add your City.

State *

Please add your State.

Postal Code *

Please add your Postal Code.

Mailing Address

Same as physical address

Address line 1 *

Please add your address.

Address line 2

Country *

Please add your country.

City *

Please add your City.

State *

Please add your State.

Postal Code *

Please add your Postal Code.

Step 2:

Additional Info

Business Description (200 char max) *

Please add your company description.

Business Keywords * (enter a space between words)

Please add your business keywords.

Directory Category *

Please select a directory category.

Full-time Employees *

Please add your number of full-time employees.

Part-time Employees *

Please add your number of part-time employees.

Bank Reference: Name, Account Nbr., Telephone, Address *

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Choose Your Company Type *

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List all Officers, Partners or Owner(s) *

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Primary Business of Your Firm Is *

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How many years have you been in business? (One year minimum requirement for membership) *

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Date of Incorporation or Registration of Fictiuous Name *

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In what area(s) do you build and/or have offices? *

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Credit Reference 1: Name, Address, Phone *

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Credit Reference 2: Name Address, Phone *

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Credit Reference 3: Name, Address, Phone *

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Sub-Contractors Employed 1: (Builders & Remodelers Only) *

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Sub-Contractors Employed 2: (Builders & Remodelers Only) *

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Subcontractors Employed 3: (Builders & Remodelers Only) *

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Customer Reference 1: List Name, Address, Phone, Location of Home/Job (if different), Work Performed: New Home, Renovation or Other *

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Customer Reference 2: List Name, Address, Phone, Location of Home/Job (if different) Work Performed: New Home, Renovation, Other *

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Customer Reference 3: Name, Address, Phone, Location of Home/Job (if different), Work Performed: New Home, Renovation, Other *

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List any other organization(s) to which you/your organization belong *

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Why do you want to join the Pocono Builders Association? *

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Have any principles of the firm or their spouses been involved in a bankruptcy or had their professional license revoked within the last 7 years? (Ex: Served on a Board of a firm, was a principle in a firm or filed personally)? *

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Have you ever been suspended by another Association? If yes, list the name of the Association and the reason for suspension. *

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Sponsored by: List the name of the person who referred you and their business name. *

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Step 3:

Primary Contact

First Name *

Please add your first name.

Last Name *

Please add your last name.

Title

Phone *

Please add your phone number.

Cell Phone *

Please add your cell phone number.

Fax *

Please add your fax number.

Email *

Please add a valid email.

Contact Preference

Phone

Address

Same as Address in Step 1

Address line 1 *

Please add your address.

Address line 2

Country *

Please add your country.

City *

Please add your City.

State *

Please add your State.

Postal Code *

Please add your Postal Code.

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Step 4:

Billing Contact

Same as Primary Contact

First Name *

Please add your first name.

Last Name *

Please add your last name.

Title

Phone *

Please add your phone number.

Cell Phone *

Please add your cell phone number.

Fax *

Please add your fax number.

Email *

Please add a valid email.

Contact Preference

Phone

Address

Address line 1 *

Please add your address.

Address line 2

Country *

Please add your country.

City *

Please add your City.

State *

Please add your State.

Postal Code *

Please add your Postal Code.

Social Network Addresses

Step 5:

Membership Package

Please select a Membership Package

BUILDER MEMBER $ 890

Any person, firm or corporation that is in the business of building, rebuilding, or remodeling homes, apartments, schools, commercial industrial or other structures normally related and pertinent to a community; has a favorable business reputation in the community; has a sound credit rating; agrees to complete all of the requirements for membership as set forth in the By-Laws of the Association and the CQC Program; and agrees to abide by the provisions of the Constitution and By-Laws of this Association, as amended from time to time.

Associate Member $ 735

Any person, firm or corporation that is engaged in a trade, industry or profession related to building construction, and not inconsistent with the objectives of this Association; has a favorable business reputation in the community; has a sound credit rating; agrees to complete all of the requirements for membership as set forth in the By-Laws of this Association and CQC Program; and agrees to abide by the provisions of the Constitution and By-Laws of this Association, as amended from time to time.

Affiliate Member $ 20

Any individual who is an employee of a firm represented by a builder or associate member of the same local association, as defined in Sections (1)(A) and (B) of the By-Laws, shall be eligible to be an Affiliate Member.

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Member Application

Step 1:

Member Info

Physical Address

Mailing Address

Step 2:

Additional Info

Step 3:

Primary Contact

Address

Step 4:

Billing Contact

Address

Social Network Addresses

Step 5:

Membership Package

Payment Option

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