Yavapai County Contractors Association

Thank you for your interest in YCCA,
please complete the following form for registration.

Business Name:

Street Address:

Mailing Address:

City:

State:

Zip Code:

Business Phone:

Fax:

Email:

Web Site Address:

No. of Employees (Including Owners):

Owner/Principal(s):

Years in Business:

Are you interested in participating in YCCA projects?

yes no

Where did you learn about YCCA?

Please choose one classification.

CLASS A: (Licensed Contractors)

$350 - 2007

Descriptive Category of Business (i.e. General or Residential Construction):

License No.(s):
Classification:

CLASS B: (Manufacturers or Suppliers of Building Materials)

$350 - 2007

Descriptive of Goods (Vendors Only):

CLASS C: (Business Supplying Services to Contractors or Desiring to Associate with YCCA. Note:Limited Benefits Including Non-Voting

$350 - 2007

Descriptive of Service:

Note: Dues are non-refundable. Dues are based on an annual calendar - January - December. Dues are prorated for the last 3 months of the year.