Email Address *

Make Email Address Public? *

Enter required value Yes No

Builder Name *

This individual or individuals must be a BIA Builder Member in good standing and will be the main contact for this project.

Builder Company *

Primary Phone Number *

Builder Mobile Number *

Make Mobile Number Public? *

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Company Address *

Website *

Social Media Accounts

Project Address *

Is Project Complete? *

Yes

No

If No, what is expected date of completion?

Square Footage of Project? *

Description of Project *

Registration Fee(s): *

On or before January 31, 2025	$2,000 - 1st House $1,500 - for houses 2+
Between February 1 -February 28, 2025	$2,500 - 1st House $1,700 - for houses 2+
After February 28, 2025	$3,000 - 1st House $1,900 - for houses 2+

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Credit Card Authorization

By checking this box, I agree to have my card charged for the amount listed below. I understand that all fees are non-refundable.

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CCV

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