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

Phone No

State

City

Address

Zip Code

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, Please provide Local #

If YES, Please provide Reg #

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

Yes No

If YES, which Local #

Most Recent Experience:

Name of Employer

Duties

Hire Date: From

Hire Date: To

Name of Employer

Duties

Hire Date: From

Hire Date: To

Name of Employer

Duties

Hire Date: From

Hire Date: To

3. CONTRACTORS COMPLETE SECTION 1 AND THIS SECTION

Company Name

Year Established

Specializations

4. PLEASE ADD ANY OTHER DETAILS OR CONCERNS

Comments