CFU&TCA ~ P.O. Box 10097 ~ Cocoa, FL 32927 ~ (321) 632-7400/phone ~ (321) 639-0363/fax
CFU&TCA Membership Application
Company Name: _______________________________________
Mailing Address: _______________________________________
___________________________________________
Telephone Number: Fax Number:
______________________ ______________________
Contact Person for Association Business: ______________________________
o Contractor Members:
A Contractor Member shall consist of any person, partnership, joint venture, or corporation, actively engaged as a utility contractor. Contractor Members are local, state and national members $ 1,450.00
o Transportation Contractor:
A Transportation Contractor Member shall consist of contractors who are not engaged in the construction and/or rehabilitation of utility systems. Transportation Contractors are local and state members only. $ 450.00
o Associate Members:
An associate member shall be any person, partnership, joint venture or corporation, not a utility contractor, but who is interested in the welfare of the industry and of this association. Associates are local and state members only $ 450.00
** NUCA Associate Membership is an additional $ 850.00
o Affiliate Members:
A corporation, company, or individual not directly related to the construction industry that supplies services or products to the underground utility industry. Affiliates are local and state members only. $ 450.00
__________________________________________
Referring Member
I will mail a check in the amount of $________________ for membership dues.
- or -
Charge my Visa/Mastercard No. _____________________________ Exp. Date: ____________
___________________________________ ___________________________________
Name Printed on Card Signature
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