Construction Associate Member Registration

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Note: Highlighted field = Appears on AWC website
   General Information
*Business Name:    
*Street Address 1: Street Address 2:
*Zip:    
*City: *State:
*Office Phone: *Company Website:
   Primary Contact
*Name: *Title:
*Email: Cell Phone:
   Secondary Contact
Name: Title:
Email: Cell Phone:
   Membership Categories (select up to 3)
   About your Business
*Select the arena(s)
you perform work in:
Commercial
Highway Heavy
Federal
Multi Family Housing
Residential
*Description of Business: * Note: This is limited to 2000 characters
*How did you hear about AWC?:
*Company Revenues:    
       
*Certifications: Note: If you are certified through the MnUCP program; your certification is a DBE
CERT WBE    
CERT MBE    
CERT SBE    
DBE    
TGB    
VOSB    
SDVOSB    
Section 3    
8A    
WOSB    
NCMSDC    
WBENC    
NOT CERTIFIED
*Where does your company do work?
Click Here for regional map
(select up to 6):
   
   
*Is your firm signatory
to a Union?:
  
Company Logo Upload Logo(.png, .jpg, or .gif smaller than 500kb)
*Note: Reselection is needed if there are validation errors of any kind
No Logo Uploaded
Contact Profile Picture Upload Contact Profile Picture(.png, .jpg, or .gif smaller than 500kb)
*Note: Reselection is needed if there are validation errors of any kind
No Profile Picture Uploaded
  
   Payment Information
Total Due N/A
Annual Membership Fee N/A
One-time Enrollment Fee $50.00

Payment Method


Please enter your credit card information below
*Credit Card Number(numbers only)

*Expiration Date(MM/YYYY)
 / 
*Security Code(number on back of card)

If you have issues with your payment, please email admin@awcmn.org



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