National Utility Contractors Association of Colorado 

2016 Member Application Form for Associate Members 

Associate Member: Any person, firm, or corporation involved in the underground utility construction industry as a supplier of equipment, materials, or services to contractors.

YES! We want to join NUCA of Colorado and the National Utility Contractors Association today. Sign us up for full privileges. Payment will cover our membership through 12/31/2016. 

Who recommended that you join NUCA?

________________________________

Your Company: Website: www. Primary Contact's Name: Title:

Email: Phone: Fax:

Your Safety Professional's Name: Email:

Your Sales Associate's Name: Email:

Your Company Executive's Name: Email:

Company Address:

City: State: Zip:

Check up to five products/services that best describe your company's business: (This is how you will be listed on the online NUCA Membership Directory: www.nuca.com) P-DI Accounting Services P-A Aggregate Supplies P-C Air Tools P-B Air/Gas Monitors P-D Attachments P-E Auctioneers/Appraisers P-F Backhoe/Loaders P-G Banking Services P-H Barriers/Rails/Guards P-I Boring Equip. P-EA Breathing Apparatus P-J Buckets P-ES Cable Pulling Tools P-K Castings/Manholes/Grates P-L Compaction Attachments P-M Compactors P-N Compressors P-O Computers/Software/Supplies P-DH Concrete Precast Products P-P Concrete Products P-DE Confided Space Equip. P-Q Contractor Services P-R Conveyors P-S Couplings, Pipe P-T Cranes P-U Cutting Edges/Accessories P-V Detectors, Holiday P-X Directional Drilling Equip. P-Y Drills P-Z Engineering Services P-AA Engines P-AB Environmental Services P-EB Equipment Leasing/Rental

P-AC Equipment Sales P-EO Equipment, Internet Brokers P-DF Erosion Control Products P-AD Excavators P-AE Explosives/Demolition Supplies P-ER Factoring Services P-AF Financial Services P-EJ Footwear (Safety) P-EC Fork Lifts/Loaders P-AG Geotextiles/Fabrics P-AH Grapples P-AI Grinders P-AK Grouting, Pressure P-AJ Grouting, Chemical P-AL Hammer/Breaker Attachments P-AM Hazardous Water Equip. P-AN Heavy Hauling Equip. P-AO Hydraulic Tools P-AV Industry Publication P-AP Insurance P-AQ Lasers P-AR Leak Detection P-AS Legal Services P-AT Lighting Equip. P-AU Loaders/Dozers P-AW Locators, Pipe/Cable P-DG Lubricants P-DB Magnetic Locating P-EK Manhole Rehabilitation P-AX Material Suppliers P-AY Meters P-AZ Microtunneling Equip. P-ED One Call Center

P-DC Other P-EL Pavement Markings P-BA Pavers P-BB Paving Products P-BC Petroleum Products P-BD Pigs P-EQ Pile Driving Equip. P-BL Pipe Cutters P-BM Pipe Insulators P-BN Pipe Jacking Equip. P-EN Pipe Lifting Tongs P-BO Pipe Liners P-BQ Pipe Pullers/Pushers P-BR Pipe Stoppers P-BS Pipe Testing/Repair Equip. P-BE Pipe, Clay P-BF Pipe, Concrete P-BG Pipe, Corrugated Steel P-BH Pipe, Ductile Iron P-BI Pipe, Fiberglass P-BJ Pipe, Plastic P-BK Pipe, Steel P-BP Pipeline Accessories P-BT Pumps, Centrifugal P-BU Pumps, Hydrostatic Testing P-BV Pumps, Potable/Submersible P-BW Pumps, Sewers/Slurry P-EI Retaining Walls P-BZ Safety Consulting P-BY Safety Equip. P-CA Saws/Grinders P-CB Scrapers/Graders

P-CD Sewer/Water Maintenance P-CC Sewer Plugs P-CG Soil Stabilization Fluids P-EH Steel Fabricating P-EM Steel Sheet Piling P-CH Steel Supplies P-CF Storm Drainage P-CI Surety Bonding P-EG Survey Equip. P-CJ Tampers P-TC Technology Consulting P-CK Teeth P-CL Testing Equip. P-CM Testing Services P-CN Tools P-CO Traffic Control Equip. P-CP Trailers P-CQ Training Services P-CR Trench Shields/Shoring P-CU Trenchers P-CS Trenchless Installation Equip. P-CT Trenchless Rehab. Equip. P-CV Trucks P-CX Tunnel/Shaft Liner Plate P-CW Tunneling Equip. P-EF Underground Supports P-EP Underground Utility Locating P-CY Valves/Hydrants P-EE Vaults P-CZ Ventilation Equip. P-DA Water Supply Services P-DD Wellpointing Services

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Select your Associate Member Dues based on your company's total annual utility construction revenue: A

NN

UA

L D

UES

Annual Utility Construction Revenue   Your Total Dues (Includes your Colorado Chapter plus National Dues) 

Less than $2,000,000 $785 By joining NUCA of Colorado, your company can: Network with fellow industry colleagues Get the inside scoop on industry news and information Gain new contacts and leads for your company Be on the forefront of safety promotion Ensure favorable Colorado laws and regulations Shape the future of your industry

$2,000,000 to $10,000,000 $975

More than $10,000,000 $1,295

_____ (Initial Here) I attest the above total annual revenue to be true.

 

 

Select your payment method:  

Check Enclosed Visa MasterCard American Express  

Remit Dues Payable to:

NUCA of Colorado 3660 W. Grambling Dr. Denver, Colorado 80236

 

 

 

 

 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 2016 is 29% based on IRS criteria. 

Phone: (303) 808-5643 Fax: (866) 408-7069 Email: nucacolorado@gmail.com Website: www.NUCAcolorado.com

 

 

 

 

 

 

Associate Member Application Continued

Save up to 70% - Multiple-Location Discount If your company already holds NUCA membership in another state or Colorado location, your office may quali fy for a deep discount on NUCA national dues! Con tact NUCA of Colorado Executive Director Julie Massaro at (303) 808-5643 or nucacolorado@gmail.com.