Membership Application - Affiliate | Contractors Assistance Association

Affiliate Membership Application

Company Name

Year Established

Street Address

City

State/Province

Postal Code

Phone Number

Fax Number

Website

Country

Primary Contact for CEA

First Name

Last Name

Job Title

Email

Affiliations

Check All that Apply:

MBE

FBE

Certified Cleveland SBE

EDGE

Referral 1 (Must be from a Union-Signatory CEA Member)

First Name

Last Name

Email

Company Name

Referral 2 (Must be from a Union-Signatory CEA Member)

First Name

Last Name

Email

Company Name

Member Info

By electronically signing this application your company acknowledges and agrees that membership in CEA is governed by CEA's Code of Regulations and subject to approval by CEA's Board of Directors.

Signed By