2016 Membership Application for Specialty Contractors
National Utility Contractors Association of Iowa
411 Remington Ave, Neola, IA 51559 Phone: (402) 651‐5183 | Fax: (515) 505‐8165 [email protected] | ww.nucaiowa.com Specialty Contractor Member: Any person, firm, or corporation that employs labor on the job, but does not bid or perform any utility construction or excavation work. Please review your contact information and membership level below. Corrections can be noted directly on
this form and submitted with payment. Payment will cover membership through 12/31/2016.
Company Name: Title: Main Contact’s Name: Website: Email*: *A valid email address is required for sending invoices, news and event information.
Work Phone: Cell Phone: Fax: City: Mailing Address: Zip: State: company’s business:
Check up to five products/services that best describes your
NOTE: this is how you will be listed in the online NUCA Membership Directory at www.nuca.com.
Asphalting/Paving/Driveways Fire System Installation Painting & Coatings Application Audio/Visual Installation Fire Proofing Pile Driving Audio/Visual ‐ Pre & Post Construction Flooring Installation Plumbing Blasting Footings & Slabs Residential Building & Remodeling Brick Paving Framing Roofing Carpentry Geotechnical Engineering Rustproofing Clearing Glass & Glazing Scaffold Erecting & Dismantling Commercial Building Ground Thawing Security System Installation Computer & Network Cable Installation Guardrail Sheeting & Shoring Concrete Finishing Gunite & Shotcrete Sidewalk, Curb & Gutter Concrete Form Construction Gutters & Downspouts Siding Concrete Pumping Hoisting & Placement of Large Scale Apparatus
Sign Building & Erection Concrete Sawing HVAC Signalization Construction Management Industrial Building Site Cleanup Conveyer System Installation Interior Electric Work Sodding & Seeding Crane Rental w/ Operator Irrigation Solid Waste Collection Decontamination & Dechlorination Iron Work & Rebar Stairway Installation Demolition Landscaping Surveying Dewatering Lift Station Rehab Traffic Control Installation Drywall & Insulation Lightening Rod & Conductor Installation Video Inspection Duct Installation Lighting System Installation Waterproofing Duct Work Line Painting/Striping Welding Dump Trucking Masonry Window & Door Installation Epoxy Application Mechanical Equipment Installation Fencing & Gates Ornamental Metal Work Installation Continued on back
Specialty Contractor Application Continued Your annual membership dues (includes your Iowa Chapter plus National Dues):
$880 Select your payment method:
Total Charge: $ 880 Check payable to NUCA of Iowa VISA MasterCard Credit Card Number: Name of Cardholder: Exp: CVV: Signature: *$15 of dues will be applied to your subscription to Utility Contractor Magazine. Both NUCA National and Chapter dues maybe deducted as a business expense, but not as a charitable contribution. The IRS 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 2016 is 29% based on IRS criteria. Names of other owners, managers, or key persons you wish to receive notices from NUCA of Iowa:
Name P: (402) 651‐5183 F: (515) 505‐8165 Title [email protected] Email Address www.nucaiowa.com