About UCA     Membership Info     Construction Related Links     Contact Us     Member Login Membership Information Main Page   Membership Inquiry Membership Inquiry If you are interested in UCA membership, simply complete the form below and a UCA staff member will contact you to complete the application process. Company Information Please enter your company information below. Company Name Address City State ZIP Phone Fax Mailing Address If using a P.O. Box, please provide a mailing address for shipments sent via UPS. This address will NOT be published in the directory. This address will only be accessible to UCA staff, unless authorized by you. Same as above Mailing Address City State ZIP Authorized Representative Please enter the name of the person (only one) who shall represent the company in all affairs of the Association. Representative Name Representative Title What type of membership are you interested in? Associate membership Contractor membership © 2004 Underground Contractors Association of Illinois