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

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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