NUCA North Texas Membership Application Step 1 of 3 - Company Information 0% You are filling out this form to become a member of NUCA North Texas which will automatically entitle you to the membership privileges of the NUCA’s National organization. Any person, firm, corporation, nonprofit organization, association, or other non-governmental entity involved in the utility construction or excavation industry as a supplier of equipment, materials or services to contractors are eligible to become a member After completing this application you can either use the site as a payment portal or request that an invoice be sent. If an invoice is selected it will be sent to the primary contacts email address.Membership TypesContractor Member (C) Engaged in excavation, site preparation, earth moving or construction or rehabilitation of utility systems. Specialty Contractor Member (SC) Employs labor on job sites but does not bid or perform any utility construction or excavation work. Associate Member (A) Involved in the utility construction or excavation industry as a supplier of equipment, materials, or services. Engineer Member (E) Engineering company involved in the utility construction or excavation industry. Not a supplier to contractors. Institutional Member (I) School or governmental entity involved in the utility construction or excavation industry. Select your membership type*Contractor (C)Specialty Contractor (SC)Associate (A)Institution (I)Engineer (E)Select your membership type (Admin)*Contractor (C)Specialty Contractor (SC)Associate (A)Institution (I)Engineer (E)Prospect (P)Former (F)Annual Revenue*Less than $2,000,000$2,000,001 to $5,000,000$5,000,001 - $10,000,000$10,000,001- $25,000,000Greater than $25,000,000Is your company a previous NUCA member?*NoYesMembership Fee Total $0.00 National Partners & companies with multi-site discounts will be reimbursed by National.Company InformationCompany Name*Check up to five products/services that best describe your company’s business: (This is how you will be listed in the Utility Construction Buyers’ Guide and the online NUCA Membership Directory at www.nuca.com)Associate Products/Services (choose up to 6) DI Accounting Services A Aggregate Supplies C Air Tools B Air/Gas Monitors D Attachments E Auctioneers/Appraisers F Backhoe/Loaders G Banking Services H Barriers/Rails/Guards I Boring Equip. EA Breathing Apparatus J Buckets ES Cable Pulling Tools K Castings/Manholes/Grates L Compaction Attachments M Compactors N Compressors O Computers/Software/Supply DH Concrete Precast Products P Concrete Products DE Confided Space Equip. Q Contractor Services R Conveyors S Couplings-Pipe T Cranes U Cutting Edges/Accessories DM Dewatering Equipment X Directional Drilling Equip. Y Drills Z Engineering Services AA Engines AB Environmental Services EB Equipment Leasing/Rental AC Equipment Sales EO Equipment-Internet Brokers DF Erosion Control Products AE Explosives/Demolition Supply ER Factoring Services DL Fences AF Financial Services EJ Footwear (Safety) EC Fork Lifts/Loaders AG Geotextiles/Fabrics AH Grapples AI Grinders BX Grounding AJ Grouting-Chemical AK Grouting-Pressure AL Hammer/Breaker Attachments AM Hazardous Waste Equip. AN Heavy Hauling Equip. AO Hydraulic Tools AV Industry Publication AP Insurance AQ Lasers AR Leak Detection AS Legal Services AT Lighting Equip. AU Loaders/Dozers AW Locators-Pipe/Cable DG Lubricants DB Magnetic Locating EK Manhole Rehabilitation ET Marketing/PR AX Material Suppliers AY Meters AZ Microtunneling Equip. ED One-Call Center EL Pavement Markings BA Pavers BB Paving Products BC Petroleum Products BD Pigs EQ Pile Driving Equip. BL Pipe Cutters BM Pipe Insulators BN Pipe Jacking Equip. EN Pipe Lifting Tongs BO Pipe Liners BQ Pipe Pullers/Pushers BR Pipe Stoppers BS Pipe Testing/Repair Equip. BE Pipe-Clay BF Pipe-Concrete BG Pipe-Corrugated Steel BH Pipe-Ductile Iron BI Pipe-Fiberglass BJ Pipe-Plastic BK Pipe-Steel BP Pipeline Accessories BT Pumps-Centrifugal BU Pumps-Hydrostatic Testing BV Pumps-Potable/Submersible BW Pumps-Sewers/Slurry EI Retaining Walls BZ Safety Consulting BY Safety Equip. CA Saws/Grinders/Blades CB Scrapers/Graders V Security/Theft Prevention CC Sewer Plugs CD Sewer/Water Maintenance CG Soil Stabilization Fluids EH Steel Fabricating EM Steel Sheet Piling CH Steel Supplies CF Storm Drainage CI Surety Bonding EG Survey Equip. CJ Tampers TC Technology Consulting CK Teeth CL Testing Equip. CM Testing Services W Tires CN Tools DJ Tracer Wire/Locate Wire CO Traffic Control Equip. CP Trailers CQ Training Services CR Trench Shields/Shoring CU Trenchers CS Trenchless Installation Equip. CT Trenchless Rehab. Equip. CV Trucks CX Tunnel/Shaft Liner Plate CW Tunneling Equip. EF Underground Supports EP Underground Utility Locating DK Vacuum Excavation CY Valves/Hydrants EE Vaults CZ Ventilation Equip. DA Water Supply Services DD Well Pointing Services DC Other Contractor Products/Services (choose up to 6) EL Electric Power TC Communications GS Gas Distribution SH Shale Gas Play Construction SW Sewer/Water Construction RB Roadway/Highway/Bridge EX Excavation-Site Development PW Treatment Plant Construction TT Trenchless Installation TR Trenchless Rehabilitation Specialty Contractor Products/Services (choose up to 6) A1 Asphalting/Paving/Driveways A2 Audio & Visual Installation B1 Blasting B2 Brick Paving C1 Carpentry C2 Clearing C3 Commercial Building C4 Computer/ Network Cable C5 Concrete Finishing C6 Concrete Form Construction C7 Concrete Pumping C8 Concrete Sawing C9 Construction Management C0 Conveyer System Installation C11 Crane Rental with Operator D1 Decontamination D2 De-chlorination D3 Demolition D4 Dewatering D5 Drywall & Insulation D6 Duct Installation D7 Duct Work D8 Dump Trucking E1 Epoxy Application F1 Fencing & Gates F2 Fire System Installation F3 Fireproofing F4 Flooring Installation F5 Footings & Slabs F6 Framing G1 Geotechnical Engineering G2 Glass & Glazing G3 Ground Thawing G4 Guardrail G5 Gunite & Shotcrete G6 Gutters & Downspouts H1 Hoisting/Placement Large Scale H2 HVAC I1 Industrial Building I2 Interior Electric Work I3 Iron Work & Rebar I4 Irrigation L4 Landscaping L5 Lift Station Rehab L6 Lightening Rod/Conductor Install L7 Lighting System Installation L8 Line Painting/Striping M1 Masonry M2 Mechanical Equipment Install O1 Ornamental Metal Work Install 02 Painting & Coatings Application P1 Pile Driving P2 Plumbing R1 Residential Bldg & Remodeling R2 Roofing R3 Rustproofing S1 Scaffold Erecting/Dismantling S2 Security System Installation S3 Sheeting & Shoring S4 Sidewalk-Curb & Gutter S5 Siding S6 Sign Building & Erection S7 Signalization S8 Site Cleanup S9 Sodding & Seeding S0 Solid Waste Collection S11 Stairway Installation S12 Surveying T1 Traffic Control Installation V1 Video Inspection W1 Waterproofing Mailing Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Same as mailing address Physical Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code County*Website Main NUCA ContactContact Name* First Last Contact Email* Work Phone*Mobile PhoneContact Zip CodePlease provide your home zip code for advocacy purposes.Primary area of responsibilty*OwnerManagerEstimatingSafetyMarketingAdminOtherCompany Membership offers support for many areas of your company, please broaden your benefits by including multiple areas of your business, e.g. safety, marketing, business management, estimators. We want you to get the most out of your investment in our association.Add additional Employees I would like additional employee to get information on NUCA North Texas Employee 1Name 1* First Last Email 1* Work Phone 1Cell Phone 1Primary area of responsibilty 1OwnerManagerEstimatingSafetyMarketingAdminOtherAdd additional Employees 2 I would like add another employee Employee 2Name 2* First Last Email 2* Work Phone 2Cell Phone 2Primary area of responsibilty 2OwnerManagerEstimatingSafetyMarketingAdminOtherAdd additional Employees 3 I would like add another employee Employee 3Name 3* First Last Email 3* Work Phone 3Cell Phone 3Primary area of responsibilty 3OwnerManagerEstimatingSafetyMarketingAdminOtherAdd additional Employees 4 I would like add another employee Employee 4Name 4* First Last Email 4* Work Phone 4Cell Phone 4Primary area of responsibilty 4OwnerManagerEstimatingSafetyMarketingAdminOtherAdd additional Employees 5 I would like add another employee Employee 5Name 5* First Last Email 5* Work Phone 5Cell Phone 5Primary area of responsibilty 5OwnerManagerEstimatingSafetyMarketingAdminOther By checking this box you agree to the Following* I agree Identified employees being added to NUCA North Texas mailing lists. Fifteen dollars of dues being applied toward your subscription ta Utility Contractor magazine. Dues are a business expense, not a charitable contribution, limited by a 29% exclusion for lobbying activities (based an prior years).Create your username and passwordUsernamePassword* Enter Password Confirm Password There is only one password per company. The primary contact is free to share this password at their own discretion.Contact Deana Butorac, at info@NUCAnorthtexas.com or 682-402-4293Please choose a method of paymnet*Send me an invoicePay with credit card via PayPal This iframe contains the logic required to handle Ajax powered Gravity Forms.