Membership Dues (Select One) *
You can pay your membership dues in three (3) payments. Call for details 863-665-0844
Date *
Date
Company Office Phone *
Company Office Phone
(For Online Directory)
Office Address (for directory) *
Office Address (for directory)
Communication Agreement
By checking the box below, I consent that the PCBA, and their subsidiaries, if any, may contact me at the specified address, phone number and email address or other means of communication available. This consent applies to changes in contact info that may be provided by me to the association in the future. This consent recognizes that certain state and federal laws may place limits on communications that I am waiving to receive all communications as part of my membership.
PCBA member who told you about our association
Primary Contact Name (internal PCBA use only) *
Primary Contact Name (internal PCBA use only)
Primary Contact Phone *
Primary Contact Phone
(Please fill in this information ONLY if you are paying your membership fee by credit card)
Date
Date
Would you like to be a PCBA PAC Gold Key Member?
Dues Allocations and Disclaimers
PCBA - $192 (2.6 % is non-deductible as a business expense) FHBA - $115 (28% is non-deductible as a business expense) NAHB - $198 (19% is non-deductible as a business expense) PCBA Foundation - $25 (100% is deductible as a charitable donation) $25 of your dues goes to benefit the PCBA Foundation, a charitable organization as described in Section 501c(3) and is eligible to receive tax deductible contributions in accordance with Section 170. FL Reg #CH17762. 1-800-HELP-FLA (435-7352) www.FloridaConsumerHelp.com. The remainder of your dues are not tax deductible as a charitable contribution but may be deductible as an ordinary and necessary business expense. A portion of your dues is used for lobbying and is not deductible for tax purposes. $10 is contributed to the Florida Home Builder Association PAC and $5 is contributed to the PCBA PAC. This allocation is optional. If you do not want this portion of your dues allocated to the Political Action Committees, please indicate so and this allocation will be retained in FHBA and PCBA operating funds.
Photography Permissions *
I hereby grant permission to the PCBA and its employees to take and use photographs/digital images of me for use in promotional and/or educational materials, including printed or electronic publications, websites, or other electronic communications. I further agree that my name and identity may be revealed in descriptive text or commentary in connection with the negatives, prints, and /or digital reproductions shall be the property of PCBA.
I have read and understand the PCBA member code of ethics (can be found by clicking link below form) *