Please note the questions below are internal use only and will not be shared outside of CEDIA.

*Year Company Established:  
*Total Number of Locations:  
*Total Number of Employees (including yourself):  
Company Type:
Average Revenue Category:
Average Project Size :
If referred by a company event or buying group please specify their code
*Primary Reason for joining CEDIA (select Three)

Primary Reason for joining CEDIA
*How did you hear about CEDIA :
How did you hear about CEDIA

Insurance and License: (Required only for Integrator membership - All integrator members should carry general liability insurance in the minimum amount of $1,000,000 USD or equivalent)

Insurance Policy Name & Number  
License Number & Jurisdiction Granting Licence  
Company Registration Number  
Company VAT Number