American Council of Engineering Companies of New York
(ACEC New York)
MEMBERSHIP APPLICATION

1. FIRM NAME:
2. BUSINESS ADDRESS:
3. TELEPHONE:
FAX:
EMAIL:
WWW Address:
FIELDS OF PRACTICE: Please check each service that applies.

Civil, Structural
Civil, Geotechnical
Architectural
Industrial
HVAC
Civil, Environmental
Environmental
Land Planning
Mechanical
Chemical
Civil, General-Municipal
Land Surveying
Construction Mgmt
Sanitary
Acoustical

Please provide a brief description of services (50 words or less):

5. Number of years in consulting practice:
6. Type of Organization:
7. If home office, location of branch offices (City/State):
8. If Branch office, location of home office:
9. If firm has previously held membership in ACEC-national, then list when and where:
10. Total number of employees in organization applying for membership:
11. Names of Principals: (Denote professional registration#) Add additional page if necessary.
12. What Year Was Firm Founded?
Sponsored by the following ACEC New York Members: (not mandatory)

Application is hereby made for membership in the American Council of Engineering Companies of New York (ACEC New York) and the American Council of Engineering Companies (ACEC), and I agree to subscribe to the Articles and By-laws of the Association.
Applicant Name