This application must be completed in its entirety, electronically signed and dated. The firm listed below applies for membership in the Associated General Contractors of Washington, a chapter of the Associated General Contractors of America, Inc. It is understood that this application is for membership in AGC only and participation in specific programs or services may be subject to additional criteria and/or enrollment as established by the Board of Trustees. By submitting this application, the firm agrees to the terms and conditions of AGC's bylaws and to make timely dues payments. The firm agrees that out of its annual dues to AGCA, $15 shall be applied to an annual subscription to Constructor Magazine and $15 to an annual subscription to the AGCA Newsletter.

Your Company
Contractor Registration #
Company Name
Street Address
Street Address
City
State
Zip
Mailing Address (If different from street address)
Mailing Address
City
State
Zip
Company Information
Phone
Fax
Company Website
Year firm established business
Annual National Volume ($)
Annual Volume in WA State ($)
Please indicate which of the following best describes your company
Name of President/CEO
E-mail Address
* Please describe your company's business or specialty (i.e., building, heavy/highway, utilities, type of specialty, etc.)
References
Reference 1 - Company
Reference 1 - Contact Name & Email
Reference 2 - Company
Reference 2 - Contact Name & Email
Reference 3 - Company
Reference 3 - Contact Name & Email
Company Contacts
Primary AGC Contact
* Primary Contact's E-mail
Accounting Contact
Accounting Contact's E-mail
Education/Training Contact
Education/Training Contact's E-mail
Future Leadership Forum Contact
Future Leadership Forum Contact's Email
HR Contact
HR Contact's Email
Labor Relations Contact
Labor Relations Contact's E-mail
Legislative Contact
Legislative Contact's E-mail
Safety Contact
Safety Contact's E-mail
Miscellaneous Information
* Membership Category firm is applying for
Firm is
* Firm is a member of another AGC Chapter
If yes, which Chapter?
Applying firm does
Total Number of employees
Your business is
Joining Information
Main reason for joining AGC
Other Reason(s)
Referral Information
How did you hear about AGC?
Name of referrer
Electronic Signature
Application submitted by:
Company
Title
E-mail
Date



  

1200 Westlake Ave. N, Suite 301 | Seattle, WA 98109
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