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Select the CBUSA Market You Are Applying To

CBUSA Market:

Account Information

Company Name:

First Name:

Last Name:

Title:

Email:

Phone:

Mobile:

Fax:

Street:

City:

State:

Zip Code:

Website:

http:// or https:// are required

Owner 1:

Owner 2:

Owner 3:

Company Profile

Year Business Started:

Number Of Employees:

Estimated Homes Built Since in Business:

Home Starts Last Year:

Projected Home Starts This Year:

Price Range:

$ - $

Average Price Per Square Foot:

Revenue Last Year (From homebuilding operations):

Projected Revenue This Year:

Direct Costs Last Year (costs excluding land and overhead):

List Areas/Cities/Counties in which you build:

Company Memberships or Affiliations:

List any industry-related awards your company has received:

List Three Supplier/Trade References

References 1

Name:

Company Name:

Phone:

Email:

References 2

Name:

Company Name:

Phone:

Email:

References 3

Name:

Company Name:

Phone:

Email:

List Your Primary Vendors or Subcontractors in the following phases of supply

Lumber:

Interior Trim:

Windows and Doors:

Roofing and Exterior Trim:

List Your Secondary Vendors or Subcontractors in the following phases of supply

Lumber:

Interior Trim:

Windows and Doors:

Roofing and Exterior Trim:

I agree

I do hereby swear that I have completed this application for membership to the best of my knowledge. Any willful misrepresentations of information will prevent me from obtaining membership. By selecting this box, I am applying to be a member of the above CBUSA affiliate.

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