| APPLICANT
FIRM: |
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| MAILING
ADDRESS: (Street, PO Box, RRD) |
|
| CITY: |
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| STATE: |
|
|
ZIP + 4: |
|
| PHYSICAL
ADDRESS: (Street, RRD) |
|
| CITY: |
|
| STATE: |
|
| ZIP
+ 4: |
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| TELEPHONE
#: |
|
| FAX
#: |
|
| WATS
#: |
|
| E-MAIL
ADDRESS: |
|
| WEB
SITE ADDRESS: |
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| FIRM
PRINCIPAL: (Full Name): |
|
| TITLE: |
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| CONTACT
PERSON/SALE REP: (Full Name): |
|
| TITLE: |
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| PRIMARY
CONSTRUCTION TRADE SPECIALTY: |
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| OTHER
TRADE SPECIALTIES: |
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| DATE
PRESENT BUSINESS STARTED: |
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| AVERAGE
# OF EMPLOYEES: |
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| FINANCIAL
& TRADE REFERENCES: |
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| Annual
and Other Type Billings Should Be Forwarded To: (Check One)
|
| Applicant
Firm |
|
| Other
(Below) |
|
| COMPANY
NAME: |
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| ADDRESS:
(Street, PO Box, RRD) |
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| CITY: |
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| STATE: |
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| ZIP
+ 4: |
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| Mail
Member Copy of “The Builders Bulletin” To: (Check
One) |
| Applicant
Firm |
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| Other
(Below) |
|
|
INDIVIDUAL’S
ATTENTION:
|
|
| ADDRESS:
(Street, PO Box, RRD) |
|
| •
MEMBERSHIP FEE: (please check one) |
|
• Level
One: $465.00 Annual Membership, Paid In Advance |
|
| •
Level One: $260.00 Six-Month Membership, Paid In Advance |
|
| •
Level Two: $1065.00 Annual Membership, Paid In Advance |
|
|
• Level
Two: $585.00 Six-Month Membership, Paid In Advance |
|
| Annual
membership dues of $365.00 include $100.00 for a 1-year
subscription to the Builders Bulletin of Central Pennsylvania.
(Incrementally, semi-annual membership dues of $195.00 include
$50.00 for a 6-month subscription). Membership dues are
all-inclusive, and subscriptions to the Builders Bulletin
or dues designated for other services cannot be paid for
on a fee-for service basis. Members of the Altoona Builders
Exchange become subscribers of the Builders Bulletin upon
payment of membership dues. Subscriptions are available
only to members. |
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