Application for Membership

To apply for membership, download and complete the application form below and return it with a check for $448.00 to
Effingham Area Home Builders Association
P.O. Box 1323
Effingham, IL 62401

OR You can use the submit button at the bottom of the page to send your application electronically and then Mail your check separately to the above address.

Download Printable Application

*Indicates required field
Full Name*

Title

Company*

Business Street Address*

P.O. Box

City*

State*

Zip*

County*

Business Phone*

Business Fax

Cell Phone

Email*

I am a:
BuilderAssociateAffiliate
All of the above information is posted on www.effinghamhba.com unless otherwise directed.
Please DO NOT list my following information:

Yes, I wish to have my website linked to effinghamhba.com.
Web Address

I understand that my one free Business Listing is under:
BuilderAssociateAffiliate
Builder Classification: Builders are directly involved in building homes. They include small-volume builders, production builders, light commercial builders & remodelers.
Associate Classification: Associate members provide products or services to home builders. They sell lumber, windows, appliances, etc. or offer services such as mortgage finance etc.
Affiliate Membership: Affiliate members are any individual, corporation or partnership which has a Builder or Associate membership with the Effingham Area Home Builders Association. Dues for Affiliate Membership is 50% of Builder or Associate Dues.

Members are entitled to three free listings on the EAHBA Website. If a category is not selected, we will place you in your free categories where we see the best fit. This form must be submitted with your membership application.

Catagory Selection List
Accountants/CPAsAir PurificationAlternative Energy SourcesAppraisersAttorneysBanksBasement-RemodelingBuilders/DevelopersBuilding Materials - Brick & ConcreteBuilding Materials - LumberCabinets/CustomCabinetsCar DealersCarpenters/CarpentryCarpentry- Interior TrimCarpet CleaningCentral VacuumClosets/StorageCommercial BuilderConcrete ContractorsConcrete Products and SuppliesCountertops/Fabricators/GraniteCustom HomesDecks & PergolasDecoratorsDrywallersDumpstersElectrical Contractors/ElectriciansElectrical SuppliesEngineering ServicesEquipment RentalErosion Control InstallationExcavation Site DevelopmentFencingFinancial InstitutionsFireplacesFlooringFoundation ContractorFraming ContractorFurnitureGaragesGeothermalGovernmentGuttersHeating/ Plumbing/Air ConditioningHeating/Air Conditioning ContractorsHome InspectionHome StagingHome Supply CentersHome Theaters/Audio SystemsHotelsInsulationInsurance AgenciesKitchen & Bath AppliancesKitchen & Bath RemodelingLandscape/Nurseries/ServicesLawn SprinklersLighting FixturesLog HomesManufacturers Wall PanelMasonryMedia/Marketing/AdvertisingMortgage LendersPainting & Decorating ProductsPainting Concractors/ServicesPatio ConstructionPest ControlPlumbing ContractorPools/Spas/SaunasRadon Mitigation ProfessionalReal Estate DevelopersRealtorsRemodelersRoofing Supplies & ServiceRoofing/SidingSecurity SystemsSeptic SystemsSiding/TrussesStoneSunroomsSuppliersTechnology & CommunicationsTitle CompaniesUtility CompaniesWallpaperWarranty CompaniesWater ConsultantWeldingWell DrillingWindow TreatmentsWindows/Doors Materials & Installation

Your application will be presented at the next board meeting for acceptance into the E.A.H.B.A.
Do you know any current E.A.H.B.A. members?
YesNo
If yes, who?

List the sponsoring E.A.H.B.A. Members Name

Sponsoring Company

Business Reference 1 Name

Business Reference 1 Phone

Business Reference 2 Name

Business Reference 2 Phone

Business Reference 3 Name

Business Reference 3 Phone

I hereby give E.A.H.B.A. permission to contact me with information, reminders, sponsorship opportunities at any of the above listed addresses, fax or email.
Applicant Signature*

Date

(Please Print) Name*

Suggested Topics for Membership Meeting Speaker

Yearly Dues payments to EAHBA are not deductible as charitable contributions for federal income tax purposes. However, dues payments may be deductible as an ordinary and necessary business expense, subject to an exclusion for lobbying activity. Because a portion of your dues is used for lobbying by NAHB (17%) and HBAI (10.75%) is not deductible for income tax purposes. If your information changes during the year, please notify the office by phone/fax (217) 857-1672 or email info@effinghamhba.com so that we can make the changes to the website www.effinghamhba.com.
Authorization Signature*

The above information is correct to the best of my knowledge.
(You must check this box to submit your application.)