Membership Application

Pennsylvania Builders Exchange – Membership Application

Fill out form below or download a PDF and fax it to 412-586-1494 you can also email it to:

Type of Business:
Company Type:(Required)
Markets That Your Business Covers:(Required)
Resons for Joining:(Required)


Membership Level(s) Per Year (Please Select Membership Level):(Required)
*Includes onetime $100 application fee.
MM slash DD slash YYYY
MM slash DD slash YYYY

Please note: Membership Dues for Basic and Full are Non-Refundable. Membership in the Pennsylvania Builders Exchange is subject to acceptance by the Board of Directors. If cash, credit, or check is provided as an immediate form of payment and acceptance is then denied, a refund check will be issued.