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Power and Communication Contractors Association

Membership Application

Please fill out the following information. If you prefer to fill out a paper form instead, download the Membership Application, and fax to (703) 548-3733.

Membership Type

Contractor Member—$1000 Associate Member—$1000

Companies bidding on or negotiating construction contracts and those subcontracting thereunder.

Companies supplying products and services to contractors and subcontractors.

PCCA Membership Drive—Credit my membership to:

Sponsor

Company

Types of Services—Please check all that apply

Major Markets

E—Electric

T—Telecommunication

C—Cable TV

D—Directional Drilling

Regions of Operation

1—CA, HI, NV, Pacific Islands

2—AZ, CO, NM, UT, WY

3—AK, ID, MT, OR, WA

4—OK, TX, Mexico

5—IL, IA, KS, MO, NE

6—MN, ND, SD, WI, Canada

7—IN, MI, OH

8—AL, AR, LA, MS, TN

9—FL, GA, SC, PR, VI

10—KY, NC, VA, WV

11—DE, MD, NJ, PA

12—CT, ME, MA, NH, NY, RI, VT

Contractor Member Construction Services

A—Subcontract/Performed

B—Subcontract/Employed

F—Trenching/Plowing

G—Earth/Rock Sawing

H—Water/Sewer Utilities

I—Gas/Oil T&D

J—Overhead Operation

K—Underground Construction

L—Inside Plant Operation

M—Outside Plant Installation

N—Engineering/Design

O—Trans./230 KV & Under

P—Trans./345 KV & Over

Q—Distribution Construction

R—Substation Construction

S—Substation Vacuum Fill

U—Substation Testing

V—Copper Placement

W—Fiberoptic Placement

X—Coaxial Placement

Y—Splicing Operation

Z—System Activiation/Testing

Associate Member Construction Services

1—Aerial Equipment & Supplies

2—Cable Handling Equipment

3—Cable, Wire & Supplies

4—Compounds

5—Computer & Software

6—Conduit & Duct

7—Earth Digging & Handling

8—Fiberoptic Cable/Duct

9—Insurance & Bonding

10—Pole & Line Hanging

11—Poles & Towers

12—Precast Products

13—Safety & Training

14—Substation Components

15—Test & Measure Equipment

16—Tools & Motor Equipment

17—Trucks & Trailers

18—Transformers

19—General Supplies/Hardware

20—General Services

Primary Contact

Title

Company Name

Street Address

Address 2

City

State

Zip Code

Phone

Fax

E-mail

Website


Power & Communication Contractors Association
103 Oronoco Street, Suite 200 • Alexandria, VA 22314
(800) 542-7222 • (703) 212-7734 • Fax (703) 548-3733
info@pccaweb.org

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