MONTANA ROOFING CONTRACTORS ASSOCIATION 
APPLICATION FOR MEMBERSHIP

Please mail completed form to
MRCA 120 E Main Sidney MT 59270

DATE____________________________________________________________________________________
COMPANY NAME_________________________________________________________________________
VOTING REPRESENTATIVE_________________________________________________________________
TITLE ___________________________________________________________________________________
MAILING ADDRESS________________________________________________________________________

_________________________________________________________________________________________
STREET ADDRESS_______________________________________________________________________
TELEPHONE ____________________________________________________________________________
MONTANA CONTRACTOR'S LICENSE NUMBER _______________________________________________
BUSINESS ORGANIZATION CORPORATION PARTNERSHIP SOLE PROPRIETORSHIP
TYPES OF ROOFING ENGAGED IN
COMMERCIAL INDUSTRIAL RESIDENTIAL BUILT-UP SLATE/TILE 
SHINGLES MODIFIED RUBBER PVC METAL ROOFING
WATERPROOFING PUF Other______________________________________
ANNUAL VOLUME OF COMPANY
IN ROOFING AND ROOFING
SHEET METAL ONLY
0 TO 100,000 100,000 TO 500,000
500,000 TO 1 MILLION 1 MILL TO 2 MILL
2 MILL TO 3 MILL OVER 3 MILLION 
HOW MANY YEARS IN BUSINESS UNDER THIS NAME ____
YEARS UNDER SOME FORMER NAME_____

FORMER NAME _____________________________________________________

TOTAL EMPLOYEES DURING SLOW PERIOD_________

DURING PEAK PERIOD__________

OTHER BUSINESS DONE UNDER SAME COMPANY NAME

MECHANICAL

SHEET METAL GENERAL CONTRACTING PLUMBING

PAINTING

ELECTRICAL OTHER_______________________________________________