Membership

Join Us

Click here for a printable version of this Application.

Membership Categories (Please select appropriate category.) *

Associate $560	Developer $875
Builder Residential $640	Builder Commercial $640

State License # or State Certification #
Occupational License #
Principal Trade *
Select A Category To Be Listed Under *

A full year's dues must accompany your application. BIA dues are NOT deductible as charitable contributions for federal income tax purposes but may be deductible as a business expense. An estimated 35% of your BIA dues will be allocated to lobbying and political activities and are NOT deductible as a business expense.

Company Information
Name *	Company
Address *	Phone *
City *	Fax
State *	E-mail *
Zip *	Website

Dues amount
SMC Dues $65 per person
Legal Defense Contribution
Scholarship Contribution
Enhanced listing on BIA website (12 months/$150)
Total Remittance

Annual dues include membership in FHBA, NAHB and the NSMC. Contributions to the Legal Defense and scholarship funds are voluntary and help support local & state governmental & legislative affairs and the educational scholarship programs established by the BIA.

Who recommended you for membership (Spike Sponsor)?

Spike Sponsor Company

Number of Employees *

Method Of Payment

Name on Card	*

Credit Card Type *	Card Number * NO HYPHENS	Expiration Date	MONTH *	YEAR *

MEMBERSHIP AGREEMENT (Please read and complete the information below)
I understand that by providing my mailing address, e-mail address, phone number and fax number, I consent to receive communications via regular mail, e-mail, phone and/or fax by or on behalf of the Lee Building Industry Association (BIA).

I agree that the BIA MAY or MAY NOT (check one response required *) publish my mailing address, e-mail address, phone number and fax number in the BIA Membership Directory and Online Directory.

Please rank method of communication in order of preference:
(1 - Most Preferred, 4 - Least Preferred)

e-mail fax mail phone

© 2000 - 2012 Lee Building Industry Association
10501 Six Mile Cypress Parkway, Suite 104 | Fort Myers, Florida 33966
Phone: (239) 936-5525 | Fax: (239) 936-5839