Member Rebate Program

Builder Registration

To register, please fill out the following information. You will receive additional information once your application has been received. Thank you.

Company Name: *
Contact Name: *
Mailing Address: *
City: *
State: *
Zip: *
Phone: *
Fax:
Email: *
Local Builders Assoc.:
Type of Builder (please make a selection):
Approx. # of Homes Completed Per Year:
Which Manufacturers are you currently using? (Hold down control + mouse click to select more than one Manufacturer):
What Manufacturers would you consider switching to? (Hold down control + mouse click to select more than one Manufacturer):

If you are having any difficulty registering, please utilize the form below:

Submit by Fax: 800-977-5591 or Email: info@HBArebates.com