New Member Application Form New Member Application Form Name * First Last * Last Business Name * Email * Business Phone Website/URL Opt-in to Receive Text Messages from AECSN. By checking this box, you consent to receive text messages from AECSN regarding your membership, work orders, and related updates. Message and data rates may apply. You can opt-out at any time by replying “STOP” to any message. Opt-In to Text Messages from AECSN Otp-In Full U.S. or Canadian Work/Mail Address (Street, City, Province/State, Postal/Zip Code) * Why do you want to become a member of AECSN (check all that apply)? Equipment and Supply Discounts Receive Service Field Work Orders for Equipment Manufacturers Valuable networking opportunities Interested in equipment sales opportunities (VAR or reseller)? Are you Currently a Licensed Contractor? * Yes No License Number(s) States/Provinces currently licensed in (separate with commas): How many electricians do you employ or work with that can be assigned to installation or service work? * 1-34-67-1011+ What’s the maximum distance you’re willing to travel for work (in miles)? * Do you currently hold any manufacturer certifications for installation or service? * Yes No Willing to be certified by a partner manufacturer to install/service/certify equipment? * Yes No What types of work would you like to receive from AECSN? (Select all that apply) Equipment Manufacturers’ Field Services Equipment Installation/Repair Solar System Installation/Service/Repair EV Charger Installation/Service/Repair Battery Storage Systems (BSS) Installation/Service/Repair Standard Residential Electrical Services Standard Commercial or Industrial Electrical Field Services Field Inspection and/or Certification Any Message Submit If you are human, leave this field blank. Δ
