Please enable JavaScript in your browser to complete this form.*Important*Honorary Membership may be granted by the Board of Directors. Honorary Members shall not pay an admission fee, shall pay no dues and shall not be entitled to vote, but shall be entitled to all other privileges of an Active Member. Any Honorary Membership so granted may at any time be recalled by the Board of Directors. - Article IV: Section 8, of the CSEA BylawsApplicant's Name *FirstLastBusiness Name/dba *What is your current position and title? *Email *Cell Phone *Type of Business (select one) *Individual Sole ProprietorPartnershipCorporationNon ProfitOtherIf partnership or corporationplease list all partners or principal officersNature of Business *Briefly describe what your company does. Please provide as much pertinent information as possible, as this will be used to help determine the business classification.How long have you been associated with this business? *If less than two (2) years, what was your former occupation?How long have you lived in Colorado Springs? *Additional InformationPlease provide any additional information you feel would be helpful to the Board in consideration of this application.Business Communication InformationMailing Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhysical Address (if different)Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeApplicant Digital Signature *Type your name here to sign your applicationSubmit