Membership Classification

Please Check One Dues Rate

þ Application Fee - One Time Fee Only - NOT OPTIONAL $ 50.00

r Builder - Includes Home Builders, Remodelers & Developers (Primary Membership) $500.00

My Primary Business is r Home Builder r Remodeler r Developer

(Please Check One)

r Associate - Includes Subcontractors, Suppliers/Distributors & Trade Contractors, $425.00

Financial Institutions, Accountants, Title & Insurance Companies

Real Estate Professionals (Primary Membership)

r Industry Supporter - Includes all services not directly related to the industry $250.00

I.e. restaurants and other industries not listed above.

Local member only– Primary membership is not required. Inclusion in all local WOHBA events. (This does not include benefits from the OHBA or NAHB)

r Affiliate - Additional staff of primary member may join with full benefits including

Local, OHBA and NAHB benefits & services. (Primary Membership Required) $100.00

Total Enclosed with Application $______

(Please include the $50 One time fee for set up fees)

Name: Title

Company Name

Business Address

(Street) (City) (State) (Zip)

Telephone No. Fax No.

No. of Employees

Website______Email-______

PAYMENT IN FULL IS REQUIRED AT TIME OF APPLICATION.

Please be sure to complete the member classification portion of this application for accurate inclusion in our directory and website.

If elected to membership, I/we hereby agree to abide by the Code of Ethics, Constitution and By-Laws of the Western Ohio Home Builders Association.

Signature of Applicant Date

Applicant Sponsored by: (Name and Company)

Return this application with remittance to: Western Ohio Home Builders Association 1200 Archer Dr.

Questions? Please call: (937) 339-7963 Troy, OH 45373

IMORTANT NOTICE

Dues payments to The Home Builders Association are not deducible as charitable contributions for federal income tax purposes. However, dues payment may be deductible as ordinary and necessary business expense, subject to exclusion for lobbying activity. Because a portion of your dues is used for lobbying by WOHBA, NAHB or OHBA 40% of the total dues is not deducible for income tax purposes.