Tulare-Kings Counties Builders Exchange, Inc.
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1 Tulare-Kings Counties Builders Exchange, Inc. MEMBERSHIP APPLICATION ATTENTION: Board of Directors, Tulare-Kings Counties Builders Exchange 823 W Center Ave, Visalia, CA P.O. Box 667, Visalia, CA (559) / (559) Fax Firm Name (as shown with CSLB): Business Type: Corporation Sole Owner Partnership Joint Venture Owner Business Address: Phone: Fax: Cell: Website: Name of Owner(s) or Officer(s) Areas of Work: Residential Industrial Commercial Public Work (PLEASE MARK ALL THAT APPLY) Contactors State License#: Years at Present Address: Occupation During the Past Five Years: Minority Business Enterprise? YES NO MBE WBE DBE DVBE UBDE Other (PLEASE MARK ALL THAT APPLY) Signature of Applicant: --> Page 1 of 5
2 Application for membership in the Tulare-Kings Counties Builders' Exchange, Inc., a non-profit corporation, is hereby made by the undersigned. If this application is duly approved, the applicant agrees to conform with the by-laws, as they are now in effect and may hereafter be amended. This application authorizes the Tulare-Kings Counties Builders' Exchange to receive credit information. All information obtained will be kept in strict confidence. In addition, such membership shall be non-cancelable for at least one year from the date of this application; and will be continued auto-matically under like terms and conditions each succeeding year thereafter, unless canceled in writing 30 days in advance of the anniversary date. Furthermore, the applicant agrees to pay all dues and any other indebtedness incurred within 30 days after being billed for the same; and to pay reasonable attorney fees, if suit is instituted, to collect any past due indebtedness. --> (Initial) Credit References: Business References 1. Company Contact Name: Phone: 2. Company Contact Name: Phone: Where does your company perform work? (PLEASE MARK ALL THAT APPLY) Tulare/Kings Counties Kern County Fresno/Madera Counties Stanislaus County Merced/Mariposa Counties San Diego Los Angeles Riverside Northern California Central Coast Bay Area Sacramento Other: Key Employee Information: Owner /President: Estimator/Sales: Operations Manager: Chief Financial Officer: Bookkeeper: Office Manager: Safety Coordinator: How did you hear about Tulare-Kings Counties Builders Exchange? Page 2 of 5
3 What membership benefits are you interested in utilizing? (PLEASE MARK ALL THAT APPLY) Online Plan Room Advertising/ Marketing Network Events Educational Seminars & Workshops Project Leads Insurance Programs Notary Service Other: Informational Articles Discount Programs Forms & Publications MEMBERSHIP DIRECTORY & REFERRAL SERVICE (PLEASE MARK ALL THAT APPLY) Please provide us with the contact you would like published in our membership directory. We supply this directory to anyone looking for Tulare-Kings Counties Builders Exchange members performing the work in the area they are seeking. Contact Name: Title: Website: Accounting Acoustical & Insulation Air & Water Balancing Framing Aluminum Products Architectural Firm Asbestos Abatement/Removal Asphalt Paving Materials Awnings Backhoe Service Barricades Boilers, Hot Water Heating & Steam Fitting Bonding and/or Insurance Building Material Suppliers Building Specialties Cabinet & Millwork Cabinet & Millwork Supplier Cement Manufacturers Concrete Concrete Sawing Concrete Tilt-Up Construction Concrete, Ready Mix Sand, Rock, Etc. Construction Clean-Up Construction Debris Boxes Contractors Equipment Conveyors-Cranes, Housing Equipment, Etc. Dealership (Car/Truck) Demolition Doors (Automatic) Doors (Shower & Tub) Draperies Drywall Earthwork & Paving Electrical Electrical Suppliers & Equipment Erosion Control Fence Materials Fencing Financial Institution Finish Carpentry Fire Extinguisher Systems (Not Sprinklers) Fire Protection Floor Covering/Carpet Framing Framing Metal General Building Contractor General Engineering Contractor Glazing Glue Laminated Beams Hardware, Window Controls, Locks Hollow Metal Doors & Frames Horizontal/Directional Boring IT Services/Computer Networks Land Clearing Landfill Landscape & Irrigation Landscape & Irrigation Supplier Lath & Plaster Lead Based Paint Abatement/Removal Lumber Manufactured Housing Masonry Masonry, Brick & Block Supplier Mechanical Equipment Supplier Mechanical Insulation Contractors Medical Gas Systems, Process Piping Metal Buildings Metal Roofing Mirrors Overhead Garage Doors, Door Openers/Gates continued on next page... Page 3 of 5
4 MEMBERSHIP DIRECTORY & REFERRAL SERVICE Continued Paint Supplier Painting & Decorating Paperhanging (Wall Covering) Parking & Highway Improvement Pest Control/Soil Treatment Pipe (Materials) Pipeline Plumbing/Fixtures & Suppliers Plumbing Precast Concrete Protective Coatings Reinforcing Steel Rentals (Equipment, Tools) Roofing Safety Consulting Services Sandblasting, Water Blasting, Steam Clean Security Guard Services Septic Tanks, Sanitation Service Station Equipment & Maintenance Sheet Metal Signs, Awards, Plaques Skylights Soil Testing Solar Sound Equipment & Video Equipment Structural Steel / Miscellaneous Iron / Metal Decks Surveillance Cameras & Systems Surveying (Land) Telephone Systems Temperature Controls Tenant Improvements Tile (Ceramic & Mosaic) Toilet Partitions and/or Accessories Training Trucking (Cement/Aggregate Hauling) Underground Utilities Unions (Trade Associations) Warm Air Heating, Ventilation & Air Conditioning Water Trucks Waterproofing & Weatherproofing, Dampproofing Weatherization & Energy Conservation Wide Format Printer Dealer/Service Wood Doors & Frames DUES ARE PAYABLE IN ADVANCE OF SERVICE $ PER YEAR Option 1: $ Option 2: $ Method of Payment: PAYMENT MUST BE RECEIVED WITH APPLICATION Check Enclosed Cash Visa / MasterCard / American Express Tax Information: Tulare-Kings Counties Builders Exchange, Inc., is a 501(c)(6), not for profit organization. Dues investment is tax deductible and/or as a normal business expense. WELCOME TO THE TULARE-KINGS COUNTIES BUILDERS EXCHANGE Page 4 of 5
5 TERMS AND CONDITIONS 1. Membership dues must be paid in advance. 2. I understand and agree that all paid membership dues and fees paid are non-refundable. 3. I understand that membership shall remain in effect until I resign in writing and that I am responsible for all dues incurred until a written resignation is tendered. 4. I understand that by signing this application, I certify that all users listed on this application are employees of the company and that under no circumstances are users to share or give out their online plan room log-in information or other information gained from the Tulare- Kings Counties Builders' Exchange, Inc., membership to non-employees of the company. 5. I understand that upon the approval of this application by the Tulare-Kings Counties Builders' Exchange Board of Directors, I agree to conform with the constitution, by-laws, Online Plan Room Usage Agreement and Plan Room Guidelines, as they are now in effect and may hereafter be amended. The applicant firm,, agrees to abide by the Terms and Conditions noted on this application, Online Plan Room Usage Agreement and Plan Room Guidelines. I hereby affirm that I am authorized to enter into agreement on behalf of the company named herein. Name: Date: Signature: --> Title: Page 5 of 5
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