Membership Application Form
Membership Type:
Company Information
COMPANY (Parent Company if branch or subsidiary)
Year Founded
Address
City
State
Zip
Country
Website
Phone
Contact Information
Contact #1 Name
Contact #1 Email
Contact #2 Name
Contact #2 Email
Company Profile
Business/Organization Type
(Choose one)
Cooperative
Corporation
Joint Venture
Limited Liability Company (LLC)
Limited Partnership (LP)
Partnership
Private
Public
Sole Proprietorship
Sub Chapter S
Sub Chapter S
Business Type
(Choose one)
Contractor
Consultant
Supplier
Business Size
1-19
20-49
50-99
100+
FIRM DESCRIPTION
(Briefly describe the firm's activities)
Annual Revenue (USD)
0 - 100,000
100,001 - 250,000
250,001 - 500,000
500,001 - 1,000,000
1,000,001 - 3,000,000
3,000,001 - 5,000,000
5,000,001 - 10,000,000
10,000,001 - 15,000,000
15,000,001 +
Revenue % from Public Sector
Revenue % from Private Sector
Business Certification
(Choose all that apply)
Disadvantaged Business Enterprise (DBE)
HUBZone
Minority Business Enterprise (MBE)
SBA 8a
Service-Disabled Veteran Owned Small Business (SDVOB)
Small Business Enterprise (SBE)
Woman Business Enterprise (WBE)
Other
Geographical Profile
Please tell us where you do business
United States (Indicate each State)
International (Indicate each Country)
Areas of Practice
Areas of Practice
Please indicate the services that your firm provides
Acoustical Engineering
Aerospace Engineering
Architecture
Chemical Engineering
Civil Engineering
Construction Management
Electrical Engineering
Environmental Engineering & Science
Fire Protection Engineering
Geotechnical Engineering
Industrial Engineering
Landscape Architecture
Land Surveying / GIS / Mapping
Marine & Coastal
Mechanical Engineering
Petroleum Engineering
Plumbing Engineering
Program Management
Structural Engineering
Traffic Engineering
Transportation Engineering
Water / Wastewater
Other
Service or Product Description
Market Sectors
Market Sectors
(Please indicate the market sectors in which you currently do business)
Aviation
Education (Colleges & Universities)
Education (K - 12)
Energy (Oil & Gas)
Energy (Power)
Government (County & Local)
Government (Federal & State)
Healthcare
Hospitality & Leisure
Institutional (Religious, Cultural, & Non-Profit)
Land Development (Commercial & Industrial)
Land Development (Residential)
Parks & Open Space
Solid Waste & Recycling
Telecommunications
Transportation - Airports & Marine Ports
Transportation - Mass Transit (Rail & Bus)
Transportation - Roads, Highways and Bridges
Water & Wastewater
Other
Membership Fees:
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