American Council of Engineering Companies of New York
(ACEC New York)
AFFILIATE MEMBERSHIP APPLICATION
1. FIRM NAME:
2. BUSINESS ADDRESS:
3. TELEPHONE:
FAX:
EMAIL:
WWW Address:
4. Type of Business

Please provide a brief description of services (50 words or less):
5. What Year Was Firm Founded?
6. Type of Business:
7. Total number of employees:
8. Name, Address and Email of Professionals applying for Membership:
9. Name, Address, and Email of ACEC New York Main Contact:
Applicant Name
*Affiliate Membership does not carry the authorization, endorsement, support or approval of any product or service by ACEC New York. Affiliate Members may not imply, in any way that ACEC New York authorizes, endorses, supports or approves of their product(s) or service(s).