Annual WUCA membership dues for
Affiliate Contractor members are $450/year
and prorated for firms joining in midyear.
APPLICATION FOR AFFILIATE CONTRACTOR MEMBERSHIP
FIRM NAME __________________________________________________________________
STREET ADDRESS _____________________________________________________________
CITY___________________________ STATE______________ ZIP_____________________
TELEPHONE____________________ FAX _________________E-MAIL __________________
WEB SITE: ___________________________PARTNERS __________INDIVIDUAL _________
PRINCIPAL OFFICERS AND DIRECTORS
PRESIDENT ___________________________SECRETARY______________________________
VICE PRES. ___________________________ DIRECTORS ______________________________
TREASURER _________________________
I/We the undersigned, do hereby apply for membership in WISCONSIN UNDERGROUND CONTRACTORS’ ASSOCIATION and do hereby agree to comply fully with and be governed by the Articles of Organization and by the By-Laws now in force or which may hereafter become operative.
SERVICES YOUR FIRM RENDERS __________________________________________________
SIGNED BY __________________________________
TITLE _______________________________________
DATED ______________________________________
Other Members of your Firm Authorized to Represent You:
________________________________________ TITLE ________________________________
"DUES MUST ACCOMPANY THIS APPLICATION"