Builders Association of Central PA 2024 Membership Application

Application Date

Company Name

Contractor Registration # (if applicable): Required as of July 1, 2009

PA Sales Tax License # (if applicable)

Company Phone Number

Contact Email

Primary Contact First Name

Title

Primary Contact Last Name

Middle Initial

Alternate Email

Company Address

City

State

Zip code

County

Company Website

Company Logo

Upload File

Company Facebook Page

Instagram Page

Date of Birth

Billing Information (if different from above)

Billing Contact First Name

Billing Email

Billing Contact Last Name

Billing Contact Phone Number

Billing Address or Corporate Address

City

State

Zip code

County

If Other, please describe

# of Employees

Type of Business or Service

How Many Years in Business

If someone referred you to the BACP, please add their name here

Name and titles of partners or corporate officials

Insurance and Information

Insurance Information** (Minimum coverage required is $1,000,000.00 / occurrence) **Certificates of insurance MUST BE included or application WILL NOT BE CONSIDERED

Liability Policy #

Workman's Comp Policy #

Insurance Certificate

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Business Experience

If in the building business less than 2 years, state previous business experience (Builder Applicants Only)

List three major sub-contractors (i.e., masonry, electrical, etc.): Name and phone # (Builder Applicants Only)

List three customers for whom you have recently built or remodeled: Name, address and phone # (Builder Applicants Only)

Please provide your business name as you want it to appear on the membership certificate:

**Investigation: The Applicant hereby authorizes the Builders Association of Central PA to conduct such investigation of the Applicant’s activities, make such inquiries and obtain such credit reports as may be necessary for its determination of the Applicant’s financial ability to meet its obligations.

Builder or Associate Applicant Signature

Upload Digital Signature

Payment Information

Name on card or check #

Company Name

Account number, expiration date, code

Street Address & ZIP code of card billing address: (Example: 1356 S. Atherton Street, State College, PA 16801)

*If you are paying by check, please send your payment as soon as your application has been submitted to:

Builders Association of Central PA

BACP Membership

1356 S. Atherton Street

State College, PA 16803

If you have questions, you can reach Keri @ koshea@centralpabuilders.com

All payments are processed upon submission of the application.
A $30 fee will be assessed on all returned checks.
Membership dues are paid on an annual basis. Renewal payments are due on or before your membership anniversary date each year.
BACP will provide invoice reminders at 45 days prior to the renewal deadline.
Membership rates are subject to change at the discretion of the Builders Association of Central PA (BACP), the Pennsylvania Builders Association (PBA) and/or the National Association of Homebuilders (NAHB).
Submission of application along with required dues payment does not guarantee membership approval.
A full refund will be provided should applicant be denied membership for any reason.

Builders Association of Central PA 2024 Membership Application

Billing Information (if different from above)

Insurance and Information

Business Experience

Payment Information

Company Information: