Membership Inquiry


Join Us!

Whether you are an experienced journeyman, an apprentice or a contractor, our doors are open.

Please tell us a little about yourself by completing the appropriate section(s) below.



1. GENERAL INFORMATION

First Name  

     Middle Initial

Last Name  

  

Address  

  

City  

  

State  

         Zip Code  

Mobile Phone  

  

Email  

  



2. COMPLETE ONLY IF YOU ARE A JOURNEYMAN, APPRENTICE, OR
WANT TO BECOME AN APPRENTICE


Personal Details  


  Status:     Journeyman      Apprentice      New Member

  Are you a former member of the OPCMIA?      
Yes       No

  If YES: Local #      Reg #

  Do you owe any outstanding dues or fines to your Local?

  
Yes       No       If YES, which Local #

Most Recent Experience 1  
Name of Employer
Duties
Hire Date:   From    to  

Most Recent Experience 2  

Name of Employer
Duties
Hire Date:   From    to  
Most Recent Experience 3  
Name of Employer
Duties
Hire Date:   From    to  



3. CONTRACTORS COMPLETE SECTION 1 AND THIS SECTION

 Company Name  
 
Year Established  
 
Specializations  
 



4. PLEASE ADD ANY OTHER DETAILS OR CONCERNS

Comments  
 




 




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