Application for Membership
Required Information
Company Name  
Year Established  
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.
Type your initials to agree  
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