Membership Information & Directory Update Form Associate Member
Use this form for any membership updates you would like listed in the membership database and printed in the GUCA Membership Directory. In addition, list any additional contacts and emails. Please note: Contacts, cellphone numbers and emails will not be printed in the directory, they will be listed in the database to receive email correspondence.
Company Name
*
Address
Street Address
Street Address Line 2
City
State
Zip Code
Company Phone Number
-
Area Code
Phone Number
Company Fax Number
-
Area Code
Phone Number
Type of Work
Please Select
Sales
Manufacturer
Rental
Insurance Services
Legal Services
Accounting Services
Financial Services
Safety/Training Services
IT/Technology Services
Marketing Services
Environmental Services
Other Services
Description of sales, rental, manufacturer and other services
MBE/WBE/DBE
Yes
No
VOSB
Yes
No
Website
Main Contact
First Name
Last Name
Contact E-mail
Contact Cell Number
-
Area Code
Phone Number
Company Officers
Submit
Print Form
Should be Empty: