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Join SAIA

* Required Fields
*A $100 non-refundable application fee will be applied to membership cost.
Membership Level *

Membership Type Descriptions (Hover for details)

Regular Members
Allied Membership
Affiliate Membership
Affiliate Safety Professional



The yearly dues for your selected membership level are:

Please Select from Drop Down
$3425.00
$1850.00
$1325.00
$1000.00
$875.00
$750.00
$950.00
$425.00
$1575.00


Company Name *
Address 1 *
Address 2
City, State/Province, ZIP *
Country *
Phone *
Fax
Toll Free
Website URL
Years in Industry
Year Business Started *
Number Of Employees *
Union/Non Union

Check if you Own scaffolding equipment:

yes we own

Check if you Rent scaffolding equipment:

yes we rent

Percentage of Business:

% Commercial
% Residential
% Government
% Negotiated Work
% Bid Work
Company Specializes In: (Please Choose All That Apply) *

Hold down the CTRL (PC) or Command (Mac) key and click to select or unselect multiple entries

Other:
Company Description *


Please select the top two reasons for joining the SAIA:

Reason #1 *


Reason #2 *

How did you hear about SAIA? *



Referred By:
Primary Contact First Name / Last Name *
*Primary Contact Address must be the same as Primary Contact Information
Title
Direct Line
Cell
Email *

Click here to add branches and additional contacts:

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Please note: If you need to submit more than 6 branches please, submit additional branches/contacts by downloading this form and emailing it to SAIA Headquarters once you have submitted your application.
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Total Number of Included Branch Locations  *
Additional Branch Locations not included in Membership Type, $50 per branch:  

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Additional Contact/Branch 1

Branch Name
First Name / Last Name
Title
Address information same as primary company Yes
Address 1
Address 2
City, State/Province, ZIP
Country
Branch Phone
Branch Fax
Person Direct Line
Person Cell Phone
Email

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Additional Contact/Branch 2

Branch Name
First Name / Last Name
Title
Address information same as primary company Yes
Address 1
Address 2
City, State/Province, ZIP
Country
Branch Phone
Branch Fax
Person Direct Line
Person Cell Phone
Email

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Additional Contact/Branch 3

Branch Name
First Name / Last Name
Title
Address information same as primary company Yes
Address 1
Address 2
City, State/Province, ZIP
Country
Branch Phone
Branch Fax
Person Direct Line
Person Cell Phone
Email

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Additional Contact/Branch 4

Branch Name
First Name / Last Name
Title
Address information same as primary company Yes
Address 1
Address 2
City, State/Province, ZIP
Country
Branch Phone
Branch Fax
Person Direct Line
Person Cell Phone
Email

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Additional Contact/Branch 5

Branch Name
First Name / Last Name
Title
Address information same as primary company Yes
Address 1
Address 2
City, State/Province, ZIP
Country
Branch Phone
Branch Fax
Person Direct Line
Person Cell Phone
Email

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Additional Contact/Branch 6

Branch Name
First Name / Last Name
Title
Address information same as primary company Yes
Address 1
Address 2
City, State/Province, ZIP
Country
Branch Phone
Branch Fax
Person Direct Line
Person Cell Phone
Email

*** By clicking Submit and joining SAIA, I agree that my company will abide by SAIA Bylaws and the Code of Conduct. These documents are found in the "Members Only" section of the SAIA website. I understand the course and magnitude of disciplinary action upon my failure to abide by these documents.





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