Full Issue (17 MB) - Pile Driving Contractors Association
Full Issue (17 MB) - Pile Driving Contractors Association
Full Issue (17 MB) - Pile Driving Contractors Association
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Step 3: Member Information<br />
(complete only the category for which you are applying)<br />
A. Contractor Members – check all services that your company provides:<br />
❒ Bridge Buildings ❒ Docks and Wharves ❒ Marine<br />
❒ Bulkheads ❒ Earth Retention ❒ <strong>Pile</strong> <strong>Driving</strong><br />
❒ Deep Dynamic Compaction ❒ General Contracting ❒ Other<br />
❒ Deep Excavation<br />
❒ Highway and Heavy Civil<br />
B. Associate and Engineering Affiliates Members – check all products and/or services that your company provides:<br />
Accessories<br />
❒ Cutter Heads and Drill Bits ❒ Hoses and Fittings ❒ <strong>Pile</strong> Points and Splicers<br />
❒ Dock and Marine Supplies ❒ Lubricants and Grease ❒ Rigging Supplies<br />
❒ Hammer Cushions ❒ <strong>Pile</strong> Cushions ❒ Safety Equipment<br />
❒ Other<br />
Materials<br />
❒ Aluminum Sheet <strong>Pile</strong>s ❒ Composite <strong>Pile</strong>s ❒ Steel Sheet <strong>Pile</strong>s<br />
❒ Coatings and Chemicals ❒ H-<strong>Pile</strong>s ❒ Structural Steel<br />
❒ Concrete <strong>Pile</strong>s ❒ Steel Pipe <strong>Pile</strong>s ❒ Synthetic Material <strong>Pile</strong>s<br />
❒ Timber <strong>Pile</strong>s/Treated Lumber ❒ Other<br />
Equipment<br />
❒ Air Compressors and Pumps ❒ Drive Caps and Inserts ❒ Leads and Spotters<br />
❒ Cranes ❒ Hammers ❒ Marine Equipment<br />
❒ Drill Equipment ❒ Hydraulic Power Packs ❒ Specialized Rigs and Equipment<br />
Services<br />
❒ Consulting ❒ Geotechnical ❒ Testing<br />
❒ Design ❒ Marine Drayage ❒ Trucking<br />
❒ Freight Brokerage ❒ Surveying ❒ Vibration Monitoring<br />
❒ Analysis ❒ Civil and Design ❒ Materials Testing<br />
❒ <strong>Pile</strong> <strong>Driving</strong> Monitoring ❒ Other<br />
General<br />
❒ Rental<br />
❒ Sales<br />
Step 4: Geographic Areas Where Services and Products Are Available<br />
(All applicants check all that apply)<br />
❒ All States ❒ AK ❒ AL ❒ AR ❒ AZ ❒ CA ❒ CO ❒ CT ❒ DC<br />
❒ DE ❒ FL ❒ GA ❒ HI ❒ IA ❒ ID ❒ IL ❒ IN ❒ KS<br />
❒ KY ❒ LA ❒ MA ❒ MD ❒ ME ❒ MI ❒ MN ❒ MO ❒ MS<br />
❒ MT ❒ NC ❒ ND ❒ NE ❒ NH ❒ NJ ❒ NM ❒ NV ❒ NY<br />
❒ OH ❒ OK ❒ OR ❒ PA ❒ RI ❒ SC ❒ SD ❒ TN ❒ TX<br />
❒ UT ❒ VA ❒ VT ❒ WA ❒ WI ❒ WV ❒ WY ❒ Canada ❒ Mexico<br />
❒ Europe ❒ Germany ❒ Other<br />
Step 5: Method of Payment<br />
I am providing payment in the amount of: _____________________________________________________________________<br />
I am making payment in full by: ❒ Check ❒ Visa ❒ MasterCard ❒ American Express ❒ Discover<br />
Card Number: ___________________________________________________________________ Expiration Date: __________<br />
Name on Card: __________________________________________________________________ CVV Code: ______________<br />
Statement Billing Address: _________________________________________________________________________________<br />
________________________________________________________________________________________________________<br />
PDCA<br />
Signature: _______________________________________________________________________________________________<br />
Please complete this application and mail to:<br />
PDCA – 1857 Wells Road - Suite 214 Orange Park, Florida 32073 or Fax to: 904-215-2977<br />
20 • Q4 • 2009
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