2011 MSEIA/PASEIA Membership Application

New Application    Renewal

Date:


Company Information

Name of Company:
Address: City:
State: Zip:
Company Website Address:
Phone (Office): Fax:
   


Contact Information

Name of
Voting Representative:

Title:
Email:    
Phone: Cell:
Contact 2 Name: Email:
Contact 3 Name: Email:


Company Data

Please select best description of primary business activities:
    If other, please explain:

Please list the range of system size:
   Typical Size:

In the preceding 12 months, did your company earn solar-related revenues in states other than PA & NJ?

Do you install, sell, or work on solar thermal products?

Are you a certified NABCEP PV installer?
  Certification Year:

Are you an approved vendor under the NJ Clean Energy Program?

Pennsylvania Sunshine Program?

Are you a Licensed Electrical Contractor?
   License #:

How did you find out about MSEIA?

Select primary reason for joining MSEIA/PASEIA:

Select secondary reason for joining MSEIA/PASEIA:

How did you learn of MSEIA/PASEIA?

Your membership fee covers membership in MSEIA and, if you choose, PASEIA. PASEIA is a division of MSEIA. If you select to be a PASEIA member, approximately 90% of your dues will be invested in Pennsylvania initiatives; otherwise 90% will be invested in NJ initiatives. Do you wish to be a member of PASEIA?


2011- 2012 MSEIA Member Dues Schedule Effective 10/1/2010

Dues are based on an honor system calculated on the total sales and revenue from your last year. Your membership year is now for 12 months based on the receipt date of your check. Membership applications are now accepted throughout the year. Members must be in good standing, with new member or renewal dues paid in order to have voting privilege during elections. Welcome!

A) Installer, Systems Integrator; Engineer; Contractor; Consultant

$250 Annual Dues: Sales, revenue <$300,000/past 12 months
$500 Annual Dues: Sales, revenue <$1 MM /past 12 months
$1,000 Annual Dues: Sales, revenue $1 MM - $3 MM / past 12 months
$1,500 Annual Dues: Sales, revenue $3 MM - $15 MM / past 12 months
$3,000 Annual Dues: Sales, revenue $15 MM - $25 MM / past 12 months
$4,000 Annual Dues: Sales, revenue >$25 MM - $35 MM / past 12 months

B) Manufacturer; Distributor; Power Purchase Provider; Leasing Company; PPAs

$2,500 - Annual Dues: Sales, revenue <$5 MM / past 12 months
$5,000 - Annual Dues: sales, revenue $5 MM - $ 15 MM / past 12 months
$7,500 - Annual Dues: Sales, revenue >$15 MM / past 12 months

C) SREC Aggregator; SREC Trader; SREC Monitoring

$500 Annual Dues: Total Revenue <$1 MM / past 12 months
$1,000 Annual Dues: Total Revenue $1 MM - $3 MM / past 12 months
$2,000 Annual Dues: Total Revenue >$3 MM / past 12 months

D) Professional Services: Law Firms; Architects; CPA & Accounting; Insurance; Banking

$500 - Small Firms ( 0 - 10 employees)
$750 - Medium Sized Firms (11 - 50 employees)
$1,000 - Large Sized Firms ( >50 employees)

E) Solar Energy Training Schools; Solar Certification Agencies/Organizations

$350 annually

F) Utilities

$5,000 annually

 

Membership Authorization:

In submitting this application for membership, I confirm that I have reviewed the MSEIA website and read the MSEIA Code of Ethics. On behalf of my company or organization, we agree to abide by them. I also confirm that our company has reviewed the honor system for membership dues and has chosen the appropriate category based on our company’s latest 12 months total sales or revenue for our membership dues.

By checking this box, you agree to the above statement

Name: Title: Date:

Upon agreement, please select any applicable below:

We have reviewed the membership categories and fee structures of MSEIA, completed the application and enclosed our check for membership dues in full.
Our company requires a formal invoice from MSEIA. Please send the invoice
Our company requires a completed W-9 form for MSEIA.
I am willing to serve on a MSEIA committee for policy; legislation; or training/certification
I am willing to meet with or write to your member of Congress, state Senator, or state Assembly members to discuss and advocate for solar energy policy.

 

 

PURPOSE OF MSEIA MEMBERSHIP DUES:

 

MSEIA
MSEIA