Directory Update Form

2020 Directory Update Form Associate Member

Use this form for any membership updates you would like printed in the 2020-2021 GUCA Membership Directory. In addition, list any additional contacts and emails. Please note: Contacts 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
Description of sales, rental, manufacturer and other services
MBE/WBE/DBE
Website
Main Contact

First Name Last Name
Contact E-mail
Contact Cell Number

Area Code Phone Number
Company Officers
Should be Empty:

2020 Directory Update Form Associate Member