Application | Building Industry Association of Central KY

Application

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If you are interested in joining the Building Industry Association of Central KY as a Builder or Remodeler Member (someone who pulls building permits), email tom@biacentralky.com to request an application.

Membership Type

Organization Information (to be displayed online)

Organization Name

Address 1

Address 2

City

State

Zip

Phone

Fax

Website

Does your company build new construction or remodel existing construction (pull permits)? YesNo

Main Contact

First Name

Last Name

Address 1

Address 2

City

State

Zip

Title

Phone

Additional Contacts

Billing Address (if different)

Address 1

Address 2

City

State

Zip

Mailing Address (if different)

Address 1

Address 2

City

State

Zip

Additional Information

Referred By

How did you hear about us?

What is your reason for joining?

Please have someone contact me regarding

Business Resources
Community Involvement
Cost Savings Programs (Insurance, Office Supplies, Worker's Compensation)
Economic Development
Government Relations
Networking
Training Opportunities
Other

Business References

First Name

Last Name

Address 1

Address 2

City

State

Zip

Phone

First Name

Last Name

Address 1

Address 2

City

State

Zip

Phone

First Name

Last Name

Address 1

Address 2

City

State

Zip

Phone

First Name

Last Name

Address 1

Address 2

City

State

Zip

Phone

First Name

Last Name

Address 1

Address 2

City

State

Zip

Phone

Business Relationships

Company Name

First Name

Last Name

Address 1

Address 2

City

State

Zip

Phone

Company Name

First Name

Last Name

Address 1

Address 2

City

State

Zip

Phone

Company Name

First Name

Last Name

Address 1

Address 2

City

State

Zip

Phone

Company Name

First Name

Last Name

Address 1

Address 2

City

State

Zip

Phone

Company Name

First Name

Last Name

Address 1

Address 2

City

State

Zip

Phone

Bank Reference

Bank Name

First Name

Last Name

Address 1

Address 2

City

State

Zip

Phone