Annual WUCA membership dues for
Associate Members are $350/year
and prorated for firms joining in midyear.

APPLICATION FOR ASSOCIATE MEMBERSHIP

FIRM NAME ____________________________________________________________

STREET ADDRESS ______________________________________________________

CITY _________________________________________ STATE ___________ ZIP _____________

TELEPHONE _______________FAX __________________ E-MAIL ____________________

WEB SITE _____________________PARTNERSHIP __________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"