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NUCA DC Contractor Activation form 2022
Contractor/Excavator Member:
Any person, firm, or corporation engaged in excavation, site preparation, earth moving or the construction/rehabilitation of utility systems including, but not limited to, storm sewers, sanitary sewers and drainage systems, water lines, cables (underground communication and electric), ducts, conduits, gas lines, tunneling, boring, trenchless construction, treatment systems, pump stations and other utility construction and appurtenances thereof.
YES! We want to join NUCA of Metropolitan Washington and National Utility Contractors Association today.
YES! We want to join NUCA of Metropolitan Washington and National Utility Contractors Association today. Sign us up for full privileges. Payment will cover our membership through 12/31/2022.
Select your annual dues amount based on your company’s total annual revenue:
Your Company’s Annual Revenue
(Required)
Less than $2,000,000 ($1,305.00)
$2,000,000 to $5,000,000 ($2,275.00)
$5,000,001 to $10,000,000 ($2,790.00)
More than $10,000,000 ($3,490.00)
Your Company
Website
Company Address
Street Address
City
State / Province / Region
ZIP / Postal Code
Main Contact’s Name
(Required)
Title
Main Contact’s Email
(Required)
Phone
Fax
Your Safety Professional’s Name
Email
Username
(Required)
Password
(Required)
Enter Password
Confirm Password
I understand that $15 of my dues will be applied toward my subscription to Utility Contractor magazine. Both NUCA National and Chapter dues may be deducted as a business expense, but not as a charitable contribution. The Internal Revenue Service limits the amount of business expense deductions for dues paid to an association that engages in lobbying activities even if dues are not used for lobbying. The amount excluded for 2021 is 29% based on IRS criteria.
Check all areas of your company’s business
Electric Power (EL)
Communications (TC)
Gas Distribution (GS)
Shale Gas Play Const (SH)
Sewer/Water Construction (SW)
Roadway/Highway/Bridge (RB)
Excavation, Site Development (EX)
Treatment Plant Construct (PW)
Trenchless Installation (TT)
Trenchless Rehabilitation (TR)
Please provide names of five company employees might like to receive notice of upcoming NUCA events, NUCA alerts, e-newsletters, and Utility Contractor magazine
NAME
TITLE
EMAIL
Add
Remove
Nominate Individuals from your company to participate on active NUCA of DC committees:
NAME
TITLE
EMAIL
Add
Remove
I nominate
(print name/title) to the DC Board of Directors when an open seat becomes available.
My company is interested in sponsoring DC chapter activities and events.
My company is interested in sponsoring DC chapter activities and events.
NUCA and its affiliates have permission to fax/email to the contacts listed (FCC requirement – please sign below.)
Form completed by:
Date
MM slash DD slash YYYY
Total
Payment Method
*
PayPal Checkout
Credit Card
MasterCard
Visa
Supported Credit Cards: MasterCard, Visa
Card Number
Expiration Date
Security Code
Cardholder Name
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