ApplicationJoin SCANH Today!

Application

Company Information

Your Name*

Company Name*

Address*

City

State*

Zip*

Phone*

Fax

Your Email*

Website URL

Types of Services Offered

Other Services:

Is your company UL Listed?

, to standards below:

Do you operate a 24-Hour In-House Central Station?

(If Applicable) Is your Central Station:

UL Listed for Burglar?

UL Listed for Fire?

Company Officers / Principals:

Name

Title

Email

General Information

Have any of the officers / principals ever been convicted of a felony
, explain below:

Do you perform employee background checks?

DUES & FEES



# of Employees SCANH NBFAA Total
1-5 $100 $228 $328
6-10 $100 $390 $490
11-15 $100 $520 $620
16-25 $100 $715 $815
26-50 $100 $1333 $1433
51-100 $100 $1723 $1823
101-150 $100 $2503 $2603
151+ $100 $3283 $3383

NBFAA Prorated Dues

Amounts Calculated by Join Date

January 1 – March 31
0 % – First Quarter

April 1 – June 30
25% – Second Quarter

July 1 – September 30
50% – Third Quarter

October 1 – November 15
75% – Fourth Quarter

Please Mail Check for Total Amount Due to:
Systems Contractors Association of New Hampshire
PO Box 187
Pelham, NH 03076

Please make checks payable to Systems Contractors Association of New Hampshire.
Also enclose your business card.