Member

Business Information

Company Name: *

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Phone: *

Website:

Email: *

Business Description (200 char max): *

Directory Category:

Employees:

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Business Keywords (enter a space between words): *

Comments / Questions:

Physical Address

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Mailing Address

Same as physical address

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Primary Contact Information

First Name: *

Last Name: *

Title:

Phone: *

Cell Phone:

Fax:

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Contact Preference:

Email Phone

Login: *

Password: *

Social Networking:

Facebook

Address

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Line 2

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State: *

Postal Code: *

Country: *

Billing Contact Information

Same as Primary Contact

First Name: *

Last Name: *

Title:

Phone: *

Cell Phone:

Fax:

Email: *

Contact Preference:

Email Phone

Login: *

Password: *

Social Networking:

Facebook

Address

Same as Member Address

Line 1: *

Line 2

City: *

State: *

Postal Code: *

Country: *

Membership Options

Membership Package: *

Builder Membership: $625.00

PCBA - $282 FHBA - $115 NAHB - $198 *$25 of your dues goes to benefit the PCBA Foundation , a charitable organization as described in Section 501c(3) and is eligible to receive tax deductible contributions in accordance with Section 170. FL Reg #CH17762. The remainder of your dues are not tax deductible as a charitable contribution but may be deductible as an ordinary and necessary business expense. * A portion of your dues is used for lobbying and is not deductible for tax purposes. $10 is contributed to the FHBA PAC and $5 is contributed to the PCBA PAC. This allocation is optional. If you do not want this portion of your dues allocated to the Political Action Committee, please contact the PCBA office.

Associate Membership: $530.00

PCBA - $187 FHBA - $115 NAHB - $198 *$25 of your dues goes to benefit the PCBA Foundation , a charitable organization as described in Section 501c(3) and is eligible to receive tax deductible contributions in accordance with Section 170. FL Reg #CH17762. The remainder of your dues are not tax deductible as a charitable contribution but may be deductible as an ordinary and necessary business expense. * A portion of your dues is used for lobbying and is not deductible for tax purposes. $10 is contributed to the FHBA PAC and $5 is contributed to the PCBA PAC. This allocation is optional. If you do not want this portion of your dues allocated to the Political Action Committee, please contact the PCBA office.

Payment Option:

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Member Application

Mailing Address

Address

Address