Allied Membership Application

Allied Membership Application
Company Name*
Company Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Company Phone*
Please enter a valid phone number.
Company Website*
Applicant Name*

First NameLast Name
Applicant Email*
example@example.com
Did an AIA CT member (AIA or Allied) refer you to apply?*

YesNo
If yes, please list their name and company below.

Full NameCompany
Are you (the applicant) the same person who will be listed as the Primary Representative in the AIA CT Allied Member Directory if your company is approved for Allied Membership?*

YesNo
Primary Contact (will be listed in the AIA CT Allied Member Directory as the company's primary representative if your company is approved for Allied membership)*

First NameLast Name
Primary Contact's Email*
example@example.com
Company Industry (check all that apply)*

ConstructionConsultingContractingEducationEngineeringInsuranceInterior DesignLandscape ArchitectureLaw FirmManufacturingMarketingPlanningProduct ManagementPublishingReal EstateTechnologyOther (please specify)
Company Services (check all that apply)*

Access ControlsAir Delivery ServicesAluminum and FencingAppliancesArchitectural FabricsAssociations/Institutes/AgenciesFoundationsAudio/Video/TelephoneBath Products/Services/PlumbingBuilding ProductsBuilding SystemsCaulks/Coatings/SealantsCeilings/Ceiling ProductsComp/Hardware & SoftwareConcreteConsulting ServicesContinuing EducationContract FurnishingsConveying SystemsDoorsElectricalFencingFinishesFlooring/Floor SystemsGlass ProductsGraphic Supplies/EquipmentInsulationInsuranceInterior Furnishings & ProductsInternet ServicesKitchen ProductsLandscape ProductsLighting/Lighting Products & ServicesLumber/Wood ProductsMaintenance EquipmentMasonryMetalsMillwork MoldingPaintPanelingPlasticsPublications/PublishingRenovation/Restoration ProductsRoofingSafety ProductsSecurity ProductsSidingSignageStairwaysStone Products & ServicesSurface TreatmentsSwitches/ControlsTileVapor RetardersWallboard/Interior TreatmentWater/Treatment SystemsWeather Resistant BarriersWindow FlashingsWindows/SkylightsWiring Devices
Please give a short description of your business (max 150 words).*

0/150
Allied Membership dues and number of company representatives are based on company size.

Tier 1: Corporate/Large Business with 50+ employees
- Up to 3 representatives
- Annual dues: $1,295
Tier 2: Medium Business with 10-49 employees
- Up to 2 representatives
- Annual dues: $895
Tier 3: Business with less than 10 employees or Manufacturer Representative
- One representative
- Annual dues: $595
Based on the above information, please select the tier that best describes your company.*

Tier 1Tier 2Tier 3
Tier 2 Allied Membership includes up to 2 representatives. Add additional contact information below if desired.
Tier 1 Allied Membership includes up to 3 representatives. Add additional contact information below if desired.
Representative #2 Name

First NameLast Name
Representative #2 Email
example@example.com
Representative #3 Name

First NameLast Name
Representative #3 Email
example@example.com
AIA Architect Member References

The reference form is linked on the Thank You page when you submit this application. It will also be available in the confirmation email sent to the submitter. The reference form should be emailed to two (2) AIA Architect members for their personal references for Allied Membership in the Connecticut Chapter of the American Institute of Architects.

By submitting this application, you recognize and understand that AIA Architect member references are required for approval for AIA CT Allied membership and that your application will not be processed until AIA Connecticut receives these references.
Terms and Conditions

Allied Membership in AIA signifies that you adhere to a professional code of ethics and share a common goal to support the profession of architecture and to build a better world for all people.
1. Rights and Privileges, Allied Members in goodstanding:
  1. May serve as a member of any committee of this Chapter that does not perform any duty of the Board of Directors;
  2. May attend and speak but may not make motions or vote at any meeting of this Chapter;
  3. Shall not be eligible to serve as an officer or director or to chair a committee of this Chapter other than the Allied Advisory Committee;
  4. May not use the initial "AIA", but may use "AIA Connecticut Allied Member".
Our company understands that we may not refer to our Allied status in any way that might lead the public to believe that we are architects.

Allied members must comply with the By-Laws of AIA Connecticut. AIA Connecticut may acept or reject Allied applications and renewals in its sole discretion, including based on business practices and activities that are determineal to the mission of AIA Connecticut or to the architectural profession. By submitting this application, the applicant represents that it is not engaged in the practice of architecture in the state of Connecticut.
After reading the above Terms and Conditions, please select one of the following options.*

WE AGREE to the Terms and Conditions stated above.WE DO NOT AGREE to the Terms and Conditions stated above.
Applicant's Signature*

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