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* = required field


* Primary Contact


Title


* Company


* Street Address


* City


* State
* Zip


Country1


* Phone


Fax


* E-mail Address2



Secondary Contact
(Optional)


Title


Company


Street Address


City


State
Zip


Country1


Phone


Fax


E-mail Address2



Website

Company email address

[1] Latin American companies with annual revenues less than $2 million USD are eligible for CSIA's Latin American Member Financial Relief program. A reduced fee of $500 for the first year of membership is available to these companies. To see the full Latin American Member Financial Relief Policy, visit www.controlsys.org/join.
[2] For login purposes in the CSIA Connected Community, the company and individual contacts cannot have the same email address in the CSIA database. However, we do want to make sure that any emails going to the company will go directly to the primary contact, so an "info@" address would not be desirable.


Business Description (A brief description of business objectives, target markets and focus of application engineering.)


Business Financials (last three years)
Integrator - Include total revenues for all Control System Integration activity at all locations (include Technical Services, Equipment, Panel Shop, Construction, etc.).
Partner - Include corporate revenues. If the membership is for a division of a corporation, then include only division revenue.
* 2011 Revenues
* 2010 Revenues
* 2009 Revenues

How did you learn of CSIA?
Industry Trade Show:
Partner Event:
Another Integrator
Distributor
Internet
Insurance Company
Other

Please tell us who referred you to CSIA, if anyone


Please prioritize the benefits you perceive in joining CSIA, number one being the top benefit:
Standards and Best Practices
CSIA Certification
Interaction with your peers
Annual Conference
Marketing support
Education (Webinars, Surveys)
Business Insurance
Legal help
Statistics and market research
Referrals
Help CSIA "raise the bar" for the entire CSI industry

Please provide the following additional information. (check all that apply)
Applications:
Batch
DCS/SCADA
Discrete
Drives
Hybrid
IT
MES
Motion
Process
Test
Vision/Identification

Services:
Construction
Consulting
MES/Information
Programming
Panel Fabrication/
        Wire & Assembly
Power/Instrumentation/
        Electrical Design
Process/Mechanical
        Design
Project Management
Shop Floor
Support Services
Technical Outsourcing
Test Systems

Industry:
Automotive
Building Automation
Chemical
Commercial/Institutional
Defence/Military
Entertainment
Food/Beverage
Consumer Goods
Life Sciences
Marine
Material Handling/
        Packaging
Metals
Mining/Aggregate/Cement
Oil & Gas
Power
Semiconductor & Electronics
Water/Wastewater

Annual Dues Schedule
Control System Integrator (Participating & Associate)
<$7.5 million in revenue $  950
>$7.5 million in revenue $1450
Latin American Integrator Company
              >$2 Million in revenue
$  500
Additional locations at 50% $
 
Partner
<$50 million in revenue $1050
$50 - $250 Million in revenue $2250
>$250 Million in revenue $4500
Do not send dues payment with the application. An invoice will be sent upon application approval. Please note that CSIA membership applies to your company, not an individual within your company.

Upon membership approval, please email a high resolution company logo in a JPEG or TIFF format.



Membership Eligibility Requirements (Check one)
Participating Member
  • The applicant's revenue for integration services (labor only) was > $250,000 and < $600,000 for the year prior to application.
  • The applicant is engaged in control system integration primarily for design, programming and commissioning.
  • Applicant may be asked to provide financial data to the CSIA Executive Director and be interviewed by phone by CSIA members to verify that the applicant meets membership eligibility requirements.
  • Applicant agrees to comply with CSIA bylaws, rules and regulations.
  • Participating members are strongly encouraged to reach Associate member status as soon as possible and then work towards CSIA Certification.

Associate Member
  • The applicant's revenue for integration services (labor only) has exceeded an average of $600,000 annually for at least three fiscal years immediately preceding year of application.
    • Labor to be included: Project Management, Specifications, Design, Programming, Commissioning
    • Labor not to be included: Panel Assembly, Construction
  • The applicant is engaged in control system integration primarily for design, programming and commissioning.
  • Applicant may be asked to provide financial data to the CSIA Executive Director and be interviewed by phone by CSIA members to verify that the applicant meets membership eligibility requirements.
  • Applicant agrees to comply with CSIA bylaws, rules and regulations.
  • Associates are strongly encouraged to achieve Certified Member status within three years of membership.

Partner Member
A for-profit business entity that primarily manufactures and/or markets industrial automation products, control hardware or control software to multiple independent system integrators.

I certify that the applicant meets all the membership qualifications set forth above.


Please contact the CSIA office if you have not received confirmation of your membership within five business days.




© 2012 Control System Integrators Association
22 N. Carroll St., Ste 300, Madison, WI 53703, USA, Phone: 800.661.4914, Fax: 888.581.3666,
Email: csmith@controlsys.org