Company name:

Address:

City: State: Zip:

Phone: Cell phone: Fax:

E-mail: Web site:

Primary contact person's name:

Additional company member listings, $75 per individual (All voting membership categories, $75 per individual, include contact information and how this person's name should appear in the Membership Directory) :

Directory description --- voting members only --- up to 50 words, $1 per word over 50 words. The CoSEIA office will bill you for additional Directory description words. Please provide documentation for any insurance, licenses, certifications, degrees, etc. being claimed in your company description by sending it to the address below or emailing it to CoSEIArecords@hughes.net . You will be contacted to provide further documentation if needed.   The CoSEIA Directory is sorted by Installers both Solar Heating and PV.  If you are an Installer, placement in these sections will be determined by the verbiage used in your description.  You may purchase additional placement listings for $75 each.  An example of this would be if you have joined as a Distributor and would also like to be placed in the Installers Section.  Please note that you must join at the highest membership level in which you want to be listed in order to be eligible for the $75 fee to list in other sections. Reciprocal Members, please provide a one sentence overview.

PLEDGE TO COMPLY WITH THE CoSEIA CODE OF ETHICS & BYLAWS. Membership in CoSEIA comes with the understanding that the member will comply with the Association's Code of Ethics and Bylaws. A copy of both the Code of Ethics and Bylaws are available on other pages of this web site. I have read and understand CoSEIA's Code of Ethics and Bylaws. By checking the box to the left, I agree as a member of CoSEIA, to be bound by these documents and all that they imply. By not checking the box, I understand my membership will not be accepted.

How did you learn about CoSEIA?

Dues and contributions are deductible as ordinary and necessary business expenses for Federal Income Tax purposes. Dues and contributions are not deductible as charitable contributions.

Paying for your membership online -- You can pay by credit card without signing up with PayPal or, if you have a PayPal account, you can pay via your account.  PayPal will send you an e-mail receipt for your transaction.

Under which membership category do you wish to join? (Members who have let their membership lapse and are rejoining or re-instating their membership are considered new members and must pay the "New Member" application/processing fee.)

New members will be assessed a new member application/processing fee of $25.

Payments for membership, either online or by check, will be returned if they are not accompanied by a completed membership application, see above. 

Total amount to be mailed to the CoSEIA office ($):

Total amount to be paid via PayPal ($):

If paying by check, please send your membership dues to CoSEIA, PO Box 77, Como, CO 80432.

After you submit this online application form and receive your form submittal verification, please click on your browser's BACK icon to return to this page to complete the PayPal payment option.