Full Issue - Pile Driving Contractors Association
Full Issue - Pile Driving Contractors Association
Full Issue - Pile Driving Contractors Association
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Step 4: Member Information - Check only the services/products under the Membership type for which you are applying.<br />
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 ❒ List Other Services:<br />
❒ Deep Excavation<br />
❒ Highway and Heavy Civil<br />
Associate Members – check all products and/or services that your company provides:<br />
❒ Air Compressors & Pumps ❒ Hydraulic Power Packs ❒ <strong>Pile</strong>s, Synthetic Material<br />
❒ Coatings & Chemicals ❒ Leads & Spotters ❒ <strong>Pile</strong>s, Timber<br />
❒ Consulting ❒ Lubricants & Grease ❒ Rigging Supplies<br />
❒ Cushions, Hammer ❒ Marine Drayage ❒ Safety Equipment<br />
❒ Cushions, <strong>Pile</strong> ❒ Marine Equipment ❒ Sheet <strong>Pile</strong>s, Aluminum<br />
❒ Cutter Heads & Drill Bits ❒ Materials Testing ❒ Sheet <strong>Pile</strong>s, Steel<br />
❒ Design ❒ Other Structural Materials ❒ Sheet <strong>Pile</strong>s, Vinyl<br />
❒ Dock & Marine Supplies ❒ <strong>Pile</strong> Hammers ❒ Structural Steel<br />
❒ Drilling Equipment & Supplies ❒ <strong>Pile</strong> Monitoring ❒ Surveying<br />
❒ Drive Caps & Inserts ❒ <strong>Pile</strong> Points & Splices ❒ Testing<br />
❒ Equipment Rental ❒ <strong>Pile</strong>s, Composite ❒ Trucking<br />
❒ Equipment Sales ❒ <strong>Pile</strong>s, Concrete ❒ Vibration Monitoring<br />
❒ Freight Brokerage ❒ <strong>Pile</strong>s, Steel H List ❒ Other Services:<br />
❒ Hoses & Fittings<br />
❒ <strong>Pile</strong>s, Steel Pipe<br />
Engineering Affiliate – check all products and/or services that your company provides:<br />
❒ Analysis ❒ Geotechnical ❒ List Other Services:<br />
❒ Civil<br />
❒ Surveys<br />
❒ Consulting<br />
❒ Structural<br />
Step 5: Geographic Areas Where Services and Products Are Available – (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 />
❒ South America ❒ Europe ❒ Asia ❒ Other<br />
Step 6: Payment<br />
Membership Type<br />
PDPI Contribution<br />
Optional Employee/Office<br />
Membership Upgrades<br />
$____________________<br />
$____________________<br />
$____________________<br />
$____________________<br />
TOTAL: $____________________<br />
Type of Payment<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 PDCA Address: __________________________________________________________________________________<br />
Signature: ______________________________________________________________________________________________<br />
Please complete this application and mail to:<br />
PDCA – 1857 Wells Road - Suite 6 Orange Park, Florida 32073 or Fax to: 904-215-2977
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