Membership Application - Kern County Builders' Exchange

 
   
Organization Information (to be displayed online)
Organization Name *
Address 1 *
Address 2
City *
State *
Zip *
Phone *
Fax
Website
Email *
Main Contact
First Name *
Last Name *
Address 1 *
Address 2
City *
State *
Zip *
Title
Phone *
Email *
Billing Contact
First Name
Last Name
Email
Safety Contact
First Name
Last Name
Email
Licenses Held
Billing Address (if different)
Street
City
State
Zip
Mailing Address (if different)
Street
City
State
Zip
Additional Information
Do you work out of the area?
If yes, how far will you travel?
Referred by
How did you hear about us?
What is your reason for joining?
Types of Eligibility
DVBE
Minority Business Enterprise(MBE)
Woman Owned Business (WMBE)
Small Business Firm
Union Affiliation
Areas that best Interest your Company
Residential
Industrial
Commercial
Public Works
Supplier
Other:
Please have someone contact me regarding
*Check all that apply
Membership
Vendor Savings Programs
Sponsorship
Submitting a Project
Networking
Other           
Membership Investment
Membership Type: *
Annual Membership $495, Semiannual Membership $280, Monthly Membership $45
* Monthly Membership must be an automatic reoccuring payment only.

Annual Online Planroom Access Fee $200

Primary Directory Category *

Additional Directory Categories
**Hold CTRL on your keyboard to select multiple categories**

Please call the Exchange if you have any questions (661-324-4321).


   
$ 
$0.00
$ 
Total: $ 

If you select Bill Me Later below, please do not fillout the Credit Card Information section.

* Membership and planroom access will not be activated until membership payment is received.

*

  • Membership will entitle applicant to a single vote in the conduct of Builders' Exchange business. KCBEX must be notified in writing in order to change voting member.

  • Application is subject to Board of Director approval in accordance to the Builders' Exchange Constitution and By-Laws.
Number of Full Time Employees:  
Number of Part Time Employees:  
Number of Rooms (Accommodations):  
Number of Seats (Restaurants):  
Number of Associates (Realtors, Attorneys):  
Number of Locations ($35/add. location):  
Millions in Assets (Financial Institutions):  
NOTE: If selecting to pay by Check, please do not fill out the Credit Card Information section at the bottom of the form. Thanks.

The contents of this box are for testing purposes. This box will be removed when the form goes live.
Full-Time Employees
Part-Time Employees
Hotel/Motel Rooms
Restaurant Seats
Additional Associates
Additional Associates Cost
Additional Locations
Additional Locations Cost
Assets
Assets Cost
AdditionalCategories
Additional Categories Cost
NumberOfAdditionalCategories
additionalItem1Cost
additionalItem2Cost
additionalItem3Cost
additionalItem4Cost
additionalItem5Cost
additionalItem6Cost
additionalItem7Cost
additionalItem8Cost
additionalItem9Cost
additionalItem10Cost
additionalItem11Cost
additionalItem12Cost
additionalItem13Cost
additionalItem14Cost
additionalItem15Cost
additionalItem16Cost
additionalItem17Cost
Annual Dues (charged to card)
Quarterly Dues (charged to card)
Monthly Dues (charged to card)
Planroom Dues (charged to card)
Tax (charged to card)
Fee (charged to card)
tempValueForDropDown1
Credit Card Information
Credit Card Type *
Credit Card Number * 
Name On Card
Security Code
Valid Through
Credit Card Address 1
Credit Card City
Credit Card State
Credit Card Zip
Credit Card Phone Number
Credit Card Email Address
Agreements
Please read and agree to all of the following before submitting the application:
  • You must be a member in good standing to maintain Exchange subscriptions. If you cancel your Builders' Exchange membership, or have your membership suspended for cause, you username & password will also be disabled.
  • You will receive your username and password via e-mail within 48 hours of received application and payment.
  • You are entitled to five passwords per subscription.
  • You are aware of the fees, system requirements, and the usage agreement.
  • Applicant agrees to pay all dues and indebtedness incurred within 45 days of Statement date or membership will be suspended. Applicant will pay reasonable attorney fees if suit is instituted to collect past due debt.
  • Membership must be cancelled in writing. Member will be responsible for membership fees prorated to written date of cancellation.

*I agree to the terms outlined above.

Please click submit only one time.  The transaction may take several seconds.