Affiliate Membership For non-engineering firms that are not eligible for standard membership but that provide professional, business, legal, technical, consulting, or other services that are complementary to services offered by our member firms. Firm Name Main Contact First Name Main Contact Last Name Title CONTACT INFORMATION Street Address City State Zip Direct Phone Line Cell Phone E-mail Firm Website Legal Form of Business:Sole ProprietorshipPartnershipCorporation ACEC TEXAS LOCAL CHAPTERS (SELECT YOUR CHAPTER)ACEC Central TexasACEC El PasoACEC Tarrant CountyACEC Corpus ChristiACEC HoustonACEC DallasACEC San Antonio Firm Description: Briefly describe the firm’s activities. (Attach an additional sheet if necessary) Full Name Title Email Address Professional Role Within Firm Compay Disciplines: Please indicate which of the following disciplines are practiced by your firmAgricultural/Biological EngineeringArchitecturalChemicalCivil – GeneralCivil – StructuralCivil – TransportationComputer / Communications SystemsConstruction ManagementElectricalEnergy / Petroleum / Oil &GasEnvironmentalFire / Earthquake / Hazards / SafetyForensicGeotechnicalHydrologicalIndustrialLand DevelopmentMarine & CoastalMaterials HandlingMechanicalMining/MaterialsNuclearPlanningProcessSurveying / GIS / MappingWater / WastewaterOther Describe Other Discipline Please indicate which of the following Local Chapters of ACEC Texas your firm would like to be involved with:AustinDallasFort WorthHoustonEl PasoSan Antonio I certify that my company provides professional services used in the internal operation of Member Firms or Affiliate Member Firms. I hereby agree to abide by the terms and conditions of the American Council of Engineering Companies of Texas By-Laws, including payment of dues and special assessments. Name (by typing your name you are certifying) Date
