Contractor Membership
Contractor Definition: A company that performs contracting services that support the underground utility construction industry. Please view the type of work drop down designations below for some examples.
Date
*
-
Month
-
Day
Year
Date
Type of Membership
*
Please Select
Contractor (CC)
Type of Work
*
Please Select
Asphalt/Concrete
Blasting
Clearing/Grading
Drilling/Blasting
Erosion Control
Hauling/Trucking
Hydro Excavation
Traffic Control
Utility Locating
Other:
Type of Work (Other):
Please Note: ONLY use this section if you selected 'Other' under type of work. Please do not list brands or long descriptors.
GA UCL Number
Company Name
*
Address
*
Street Address
Street Address Line 2
City
State
Zip Code
Company Phone
*
-
Area Code
Phone Number
Website
Main Contact
*
First Name
Last Name
Title
Cell Number
-
Area Code
Phone Number
E-mail
*
Additional Contact
Recruited By GUCA Member:
Full Name
Company
Contracting Volume / Dues Amount
*
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( X )
$0-$2 Million Annual Volume
$
800.00
$2-$5 Million Annual Volume
$
1,800.00
Over $5 Million Annual Volume
$
2,500.00
Total
$
0.00
Signature
*
Signature date
*
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