Company Name
*
Date
*
MM
DD
YYYY
Primary Contact Name
*
First Name
Last Name
Title
*
Mailing Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Office Number
*
(###)
###
####
Cell Number
*
(###)
###
####
*Please check any phone numbers that should not be included in published membership directories or printed membership listings.
*
Email
*
Number of Masons Employed
*
Number of Apprentices
*
Number of Laborers/Helpers
*
Federal Tax ID#
*
Do you have a general contractor’s license?
*
Yes
No
Do you carry public liability and worker’s compensation insurance?
*
Yes
No
Is your firm bondable?
*
Yes
No
MCAA Member?
*
Yes
No
Check Types of Work your Firm Performs
*
Primary Geographical Areas in which you Bid Work
*
How do you primarily bid for work?
*
Lump Sum/Turnkey Labor and Material Unit Price
Labor Only
Description of products and services
*
Dues Fee Schedule:
Masonry Contractors: Annual dues are determined by annual dollar volume: <$500,000 annual volume, $350 (R1); $500,001 - $1,500,000 annual volume, $500 (R2); $1,500,001 - $3,000,000 annual volume, $650 (R3); $3,000,001 - $6,000,000 annual volume, $900 (R4); and $6,000,001 > annual volume, $1,200 (R5.) (Association dues are determined on the “honor system.”)
Associate/Suppliers: (Includes any member company other than masonry contractor firms or general contractor firms with distinct masonry divisions.) Annual dues are determined by annual dollar volume.: <$500,000 annual volume: $350 (A1), $500,001 - $1,500,000 annual volume: $700 (A2), $1,500,001 - $3,000,000 annual volume: $1,000 (A3), and >$3,000,001annual volume: $1,200 (A4.)
“Leadership” Member: Voluntarily paying double dues (above.)
“Distinguished” Member: Voluntarily paying double dues (above) and maintaining membership in the “Mason Contractors Association of America” (MCAA.)
Local Supplemental Fees: Local NCMCA chapters charge local dues which are collected by the state office and are included on annual dues renewal statements. Local fees are set locally and vary from chapter to chapter. Members are expected to pay local dues to the chapter closest to the member firm and/or to area representative’s base location. (Out-of-state and extremely remote instate members may choose to be exempt from local dues.) To join ALL Chapters (6) is $675.00. Local fees are charged on a company basis and are as follows: Central Piedmont (Winston-Salem area): $100, Eastern Chapter (Kinston, Greenville, Rocky Mount, Jacksonville area): $100, Land of the Sky Chapter (Greater Asheville area): $50, Metrolina Chapter (Greater Charlotte area): $125, Raleigh Chapter: $200 (Raleigh dues include meeting meals for one representative.), and Western Carolina Chapter (Hickory, Morganton, Statesville, Lenoir areas): $100.
Membership renewal fees are due annually on July 1st. NCMCA (State) membership is required for participation in local chapters. This form may be photocopied. If there are additional representatives who should be on the NCMCA mailing list, please include names, addresses, e-mail addresses and phone numbers on the backside of this application or on a separate sheet of paper. (As a cost saving measure, please include only representatives who plan to be active in the Association.) Dues fee schedule is subject to change without notice.
Optional Membership Designation
Leadership
Distinguished (MCAA Member)
Name of Sponsor
First Name
Last Name
Completed By
*
