Membership Application Company Name: Address: City: State/Province: ZIP/Postal Code: Phone: FAX: Time Doing Business: Please include the reference name, email address and phone number. Reference Name 1: Reference Email Address 1: Reference Phone 1: Reference Name 2: Reference Email Address 2: Reference Phone 2: Reference Name 3: Reference Email Address 3: Reference Phone 3: Incorporation / Authorized In: In which state(s) is your headquarters incorporated or authorized to do business? Firm Contact Name: Firm Contact Email: Executive Summary: Please provide a brief executive summary for your firm. Projects: Please provide at least 2 projects the firm has provided right of way services that can be verified with your references. Please include a brief description of the project and actual services the firm provided. Full-time Employees: How many full-time salaried employees are in the firm? Licenses: What licenses does your firm hold, i.e, real estate, engineering, appraisal, etc.?
