Renewal Application For Associate Membership (Peninsula) "*" indicates required fields Yes, I wish to renew my associate membership of the Qualified Gas Contractors Association. I will live up to and support the CODE OF ETHICS and BYLAWS of the association . Pick only one chapter per application Peninsula South Hampton Roads Suffolk My Firm is licensed in the city of State Firm Name Address Address City State ZIP PhoneFax Email Website Contact Person Address and phone if different from above Please Have The Follow Ready To Submit When We Contact You.< Insurance Certificate for the past 24 months Business License for the past 24 Months State Contractors License HVA– GFC or PLB-GFC for the past 24 months Tradesmen certificate of the designated employee past 24 months Letters of recommendations from 2 current QGC members or Distributors ) Check for $275.00 one year dues payable to the QGC. DUE NO LATER THAN MARCH 1stUntitled* By submitting this information, you acknowledge that all the information in this application is true to the best of your ability. Print CAPTCHA
