2022 MPMCA Membership Application

MPMCA Membership Application
I (we) the undersigned agent of the firm identified, hereby make application for membership in MPMCA. In making this application, I (we):

(a) understand that membership in a local PHC or Mechanical Association is a prerequisite to membership in MPMCA, if such an association serves the applicant’s market area,

(b) agree to pay dues as established by MPMCA’s Board of Directors and to adhere to the Constitution and Bylaws of the Association,

(c) understand that the dues remittance must include both MPMCA and NAPHCC dues (except Associate).
Firm Name
Street/PO
City/State/Zip
Telephone
Fax Number
E-mail
Website
Principal Officer’s Name
Signature

Clear
Date of Application

Month Day Year
Date
Average # of Field Employees
This application is for

Union Shop Open Shop
Type of Work Contracted

Plumbing Heating Piping Cooling
Dues Structure

Please click on Preview PDF below to view information for filling out the following fields
MPMCA Dues $
+ NAPHCC Dues $
Total = $
Should be Empty:

Dues Structure