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   Membership Application--------

 

 


 

To apply for membership please complete the form below, then print and fax it to Maine PHCC at 207-829-5031 or email it to director@mainephcc.com.   If you would like to learn more about the benefits of membership or need help filling out the application form,  give us a call at 207-829-5031.
 
First Name:
Last Name:
Business Name:
Address:
City & State
Zip:
Bus. Tele.:
Fax Tele.:
Email:
Please check Business type:
 
Plumbing Heating Air Conditioning
Please check Market type:
 
Residential Commercial Other
Membership: Jan. 1, 2006  - Dec. 31, 2006

Full Member Annual Dues: $552.00

Full Year $552.00

Semi Annually $276

Quarterly $138

Number of months if less than a full year

(Total months x $44.00)

Associate Memberships

Associate Member Annual Dues:      

Full Year   $175.00

 

Method of Payment
I am forwarding a check for: $

Bill Me 
 
Visa             MC
Card #     Expir. Date: (MM/YY)
 
Occupational Licenses
Plumbing #
Heating #
Gas#
 
Membership in Business, Civic Groups
I, , hereby apply for membership in the National/Maine Associations of Plumbing Heating Cooling Contractors, Inc I agree to  operate by the Code of Ethics for these associations, and pay annual dues to both organizations.

The membership year runs from January 1 through December 31. After the first of             the year, dues are calculated on the balance of the year remaining. Divide the annual     dues by 12. Multiply the result by the number of months remaining in the calendar year.

CHECK ONE: Full Year Half Year Quarter Year     

 

 

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