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Member Application
 

Pamela ChamblessAir Conditioning Contractors of America
South Plains Chapter
PO Box 64094
Lubbock, TX  79464
Phone/Fax (806) 741-7068
pam@accasouthplains.org


MEMBERSHIP APPLICATION
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Company:
 * required
HVACR License #:
 * required
Name:
 * required
Title:
 * required
Street Address:
PO Box:
City, State Zip:

Phone:
 * required
Fax:
Cell:
Email:
 * required
Type of work performed:
Number of years in Business:
Number of Employees:
 * required
  MEMBERSHIP PAYMENT
  Choose One (Contractor Membership based on total number of employees at this location):

 
1-3 $687
4-9 $1014
10-24 $1341
25+ $1668
Associate $895