Associate Affiliate Membership
Associate Affiliate Definition: Any company that is a vendor or supplier of a service or product for the utility construction industry. This includes sales of products or services to the industry. This does not include any company who performs contracting services on a job site. Please view the type of work drop down designations below for some examples.
Date
*
-
Month
-
Day
Year
Date
Type of Membership
*
Please Select
Associate Affiliate (AA)
Type of Work
*
Please Select
Accounting Services
Aggregates
Auctioneers
Equipment Dealers
Fleet Vehicle Services
Financial Services
Insurance Services
Legal Services
Pipe/Utility Supplies
Precast/Concrete Products
Pumps
Shoring
Truck Parts/Trailers/Tires
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.
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
E-mail
*
example@example.com
Cell Number
-
Area Code
Phone Number
Additional Contacts
Recruited By GUCA Member:
Full Name
Company
Associate Annual Sales Volume / Dues Amount
*
prev
next
( X )
$0-$2 Million Annual Volume
$
800.00
$2-$5 Million Annual Volume
$
1,200.00
Over $5 Million Annual Volume
$
1,500.00
Total
$
0.00
Signature
*
Signature date
*
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