WCA Membership Application

If you are in the Waterproofing Industry and are interested in joining our organization, please complete and submit the application below. You will receive a confirmation email from us once your application is received and processed.
Company Name		Contact Name
Mailing Address
City	State Zip
Phone		Fax
Email Address
Years in Business		Date of Application

Name of Other Company Participants (If Applicable)		New members require sponsorship by two existing WCA members. Please identify by name and company affiliation:

Types of Work in Which Your Company is Involved (Check all that apply):
Waterproofing Caulking Water Repellents Masonry Repair Wall Coatings Concrete Repair		Expansion Joints Epoxy & Urethane Injections Floor Coatings Structural Repair Wall Restoration Roofing
Other
Any Additional Comments? Do you have a website address?