Membership Application

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Required Information
Company Name
Year Established
This a single company membership and only W2 employees of the company named may use the services of Builders Exchange, Inc. Companies with "common ownership" or "sister companies" must have their own membership to use said services.Type your initials to agree
Address
City
State
Zip
Phone
Website
Company Email
Our Primary Type of Business is
Primary Contact
Contact Title
Contact Email
Labor Affiliation:

Membership Fees and Terms (Please check appropriate option)
Standard Membership
Application Fee ($100.00) + Membership Dues ($725.00)
Includes online reporting service without plans, specs & addenda
$825.00
Upgrade Membership
Application Fee ($100.00) + Membership Dues ($725.00) + Online Upgrade for plans, specs, and addenda ($775.00)
$1,600.00
Payment Options:

A.
$825.00 payable in full with this application or $1,600 to include Online Upgrade Our membership year runs from July 1st to June 30th. YOU WILL NOT BE BILLED ON YOUR MEMBERSHIP ANNIVERSARY DATE! Unused portion of first year's dues will be credited against second year's dues. If your company does not wish to continue membership past June 30th of your first year, the remainder of your first year's dues will be forfeited.
Type your initials to agree
B.
By paying your yearly membership dues, you understand and agree that Builders Exchange may, without waiving any of its other rights, at its option to cancel or amend any benefit or service you, your company and employees participate in if you later decide to drop membership or are in financial arrears in any way.
Type your initials to agree
C.
If your company is in financial arrears to the Builders Exchange you agree that all BX services may be suspended until full payment is received with no credit forthcoming.
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D.
By becoming a member of Builders Exchange, Inc., you have agreed to receive communications from us regarding member benefits and upcoming classes. At any time, you may opt-out via email to agrandetti@bxohio.com or by calling 866-907-6300.
Type your initials to agree
Type Your Complete Name for Signature