PPMCA Application for Membership

This is an application for membership into the Pikes Peak Mechanical Contractors Association. Your application will be placed before the Board of Directors and once approved you will be notified as to your membership status.

Company Name:
Representative:
Address:
City:
 State:
Zip:
Business Phone:
Business Fax:

Email Address: (By giving us your email and your fax you are giving us permission to contact you through these means)

Are you a licensed contractor?: Yes: No:
Contractor License Type:

Contractor License Number:

Are you licensed in another State?
Yes:   No:

How long has your company been in business?:

How many service and installation mechanics are employed?:

Other professional organizations(list):

hereby applies for membership in the Pikes Peak Mechanical Contractors Association, Inc. for the calendar year. As a member we agree to fully support the PPMCA and its goals. We further agree to abide by the Association's Code of Ethics and By-laws.

You will be asked to sign your application at a later date to complete the application process. Please submit a check for your dues (made payable to PPMCA)to PPMCA, PO Box 25, Peyton, CO 80831.

Full Year/Renewal: $150.00
New Member/Partial Year: $12.50 per month

PPMCA Membership begins February 1st each year. Minimum dues $25.00. If you need to make other payment arrangements, please contact PPMCA at 719.749.9063.

I have read the above application terms and agree to their conditions.

Please copy and mail your application and the check for the dues to

PPMCA

PO Box 25

Peyton, CO 80831

If you have any questions please call 719.749.9063 or 719.216.3164

Return to Previous Page