Renewal Application For Associate Membership (Peninsula)"*" indicates required fieldsYes, 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 SuffolkMy firm is licensed in the city ofStateFirm NameAddress Address City State ZIP PhoneFaxEmail WebsiteContact PersonAddress and phone if different from abovePlease Have The Following Ready To Submit When We Contact You.Insurance Certificate for the past 24 monthsBusiness License for the past 24 MonthsState Contractor’s License HVA– GFC or PLB-GFC for the past 24 monthsTradesmen certificate of the designated employee past 24 monthsLetters of recommendations from 2 current QGC members or Distributors )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.PrintCAPTCHA