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membership application

Please select the appropriate membership category and complete this form. CEDIA membership is on a company basis,
and all employees of your company would be considered CEDIA members, unless applying for an individual membership.

Company Information: How Did You Hear About CEDIA?

Company Name: ________________________________________  Industry Referral (include person/company name)

DBA: __________________________________________________ ______________________________________________________


 CEDIA Expo
Street Address: _________________________________________
 ISE
City: __________________________________________________  CEDIA Communication
State/Province: _________________________________________  Industry Event (include which one)______________________
 Other: _____________________________________________
Zip/Postal Code: ________________________________________
Primary Reason for Joining CEDIA:
Country: _______________________________________________
 Education  Show
Phone Number: _________________________________________  Certification  Peer/Mentor Networking
Website: _______________________________________________  Discounts  Other: ___________________

Company Email: _________________________________________


Provide a brief description of your company: __________________
Main Contact Name: _____________________________________
______________________________________________________
Email: _________________________________________________

Title: __________________________________________________ Payment Information:

Payment Total ___________________  USD  GBP


Classifications:
 Home Technology Professionals:  $500 USD  £350 + VAT  Visa  MasterCard  American Express
(not available for EMEA)
 Industry Related Professionals:  $500 USD  £350 + VAT
Credit Card Number: _____________________________________
 Individual Members (No requirements necessary):
 $500 USD  £350 + VAT Security Code (CVV/CSV): _______ Expiration Date: ____________
 Trade Suppliers—Manufacturer/Distributor
Name As It Appears On The Card: ___________________________
Annual Gross Revenue (Trade Suppliers) Membership Cost
 $1,000 USD Billing Address: ________________________________________
 Less than $10 Million USD or equivalent
 £700 + VAT
______________________________________________________
 $10-$30 Million USD or equivalent  $2,000 USD
 £1400 + VAT  Same as company address

 $31-$100 Million USD or equivalent  $4,000 USD


Cardholder’s Signature: ___________________________________
 £2800 + VAT

 $101-$200 Million USD  $8,000 USD Date: _________________________


 £5600 + VAT

 Over $200 Million USD  $10,000 USD Insurance and License:


 £7000 + VAT
Insurance Company Name:________________________________

Company Demographic Information: Insurance Policy Number(s):_______________________________


Year Company Established: ________________________________  Insurance is not required for company to conduct business
Total Number of Locations: _______________________________
License Number: ________________________________________
Total Number of Employees: _______________________________
Jurisdiction Granting License: ______________________________
Annual Gross Revenue:
 License is not required for company to conduct business
 Less than $250,000  $2 million – $2,999,999
 $250,000 – $499,999  $3 million – $4,999,999 VAT Registration Number (If Applicable): ____________________

 $500,000 – $999,999  $5 million – $9,999,999 Company Registration Number (If Applicable): _________________
 $1 million - $1,999,999  $10 million or more

Questions? Contact CEDIA at 800.669.5329 or 317.328.4336. In EMEA, call +44 (0)1480 213744. Return completed form to join@cedia.org.
membership application
Terms and Conditions:

1. Home Technology Professional Members must comply with all applicable state/province, county, country, and/or municipal
licensing requirements. Members are required to submit license number(s) and name of jurisdiction granting license to CEDIA.

2. Home Technology Professional Members must carry general liability or similar insurance in the minimum amount of $1,000,000 USD
or equivalent and are required to submit the name of insurance provider and policy number(s) to CEDIA. This requirement is not
applicable to Home Technology Professional Members located in countries where general liability or similar insurance is not available.

3. All company applicants are required to have one active member company or three supplier companies complete a reference.
References must be submitted to CEDIA during the 6-month provisional period.

4. Until all membership requirements are fulfilled, an applicant is granted provisional membership for a maximum of 6 months after
payment is processed. If requirements are not met at conclusion of 6-month provisional period, CEDIA can limit access to benefits
or revoke membership.

5. An applicant’s current operations will determine its membership category.

6. Dues payment will be processed at time of application submission.

7. Membership is non-transferable and non-refundable.

8. By submitting application, applicant agrees to adhere to the CEDIA Code of Ethics and consents to receive all solicitations from
CEDIA and its authorized licensees, via telemarketing, electronic mail, texts, fax, and/or other electronic means.

9. If a company-based membership is purchased, then each employee is considered a CEDIA member representative and may take
advantage of member benefits.

10. Individual membership grants access to a limited number of benefits for one person.

11. Membership is renewed annually with the second year prorated based on the month joined.

12. Applicants located in the United Kingdom will be subject to VAT, in accordance with HM Revenue & Customs Notice 741 – Place and
Supply of Service.

13. A membership may be revoked or terminated for violation of the CEDIA Code of Ethics, CEDIA’s governance documents or other
CEDIA policies.

Questions? Contact CEDIA at 800.669.5329 or 317.328.4336. In EMEA, call +44 (0)1480 213744. Return completed form to join@cedia.org.