American Council of Engineering Companies of Minnesota - Membership Application
Name
*
First Name
Last Name
Email
*
example@example.com
Firm Name:
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Please indicate the Fields of Practice for your firm:
*
Civil
Construction Management
Electrical
Energy Conservation
Environmental
Fire Safety
Geotechnical
Industrial
Mechanical
Metallurgical
Municipal
Product Development
Structural
Surveying
Transportation
Other
Description: briefly describe you firm or business's activities, and use the upload below if necessary
Please upload your firm logo here - PNG or EPS file format preferred, feel free to include additional files with alternate layouts / colors
*
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of
Business Organization Type:
*
Sole Proprietorship
Partnership
Corporation
Engineering Department, Division, or Subsidiary of a Private Non-Engineering Company
Other
Total number of personnel in Minnesota
*
Please list a Principal Representative (those with ownership interest or exercising management / key responsibilities). Minnesota law requires at least one Principal or Associate Representative of the firm to be licensed as an engineer and maintain a regular presence in the state.
*
Email
example@example.com
Additional Principal Representative
Email
example@example.com
Additional Associate Representative
(Optional)
Name
First Name
Last Name
Email
example@example.com
Name
First Name
Last Name
Email
example@example.com
Signature
Submit
Should be Empty: