Producer Member Application

* First Name Official Representative

* Last Name Official Representative

Title

* Company

* Mailing Address

* City

* State

* Zip

* Phone

* Email

URL

* Year Business Began

BIOGRAPHICAL INFORMATION

In accordance with Cast Stone Institute® By-Laws, the following information is required for processing your application. This information will be used to introduce you and your company to your fellow CSI members and a portion will be used for your Cast Stone Institute® Member listing on the CSI website.

* Company Name

* Plant Location

* How long in business

* Principal Owner(s)

Spouse Name

A detailed description of the plant’s annual capacity of Cast Stone product

CUSTOMER REFERENCES

Attach a letter that includes the names of Architectural firms who designed work performed by your company in the last three years. Include Name, Location, Type, Size and Scope of Cast Stone work involved in each project.

* Customer Reference File Upload

CREDIT REFERENCES:

Please provide 5 Cast Stone-Specific Supplier References below.

* Supplier 1 Company Name

* Contact Person

* Phone Number

* Email

* Supplier 2 Company Name

* Contact Person

* Phone Number

* Email

* Supplier 3 Company Name

* Contact Person

* Phone Number

* Email

* Supplier 4 Company Name

* Contact Person

* Phone Number

* Email

* Supplier 5 Company Name

* Contact Person

* Phone Number

* Email

PLANT INSPECTION AUTHORIZATION:

I hereby grant permission for an appointee of the Cast Stone Institute® Membership Committee to inspect and photograph our plant facilities and previously completed projects at a time and date of mutual convenience.

I agree to abide by the decision of the inspection committee and the Cast Stone Institute® board.

I further agree, upon CSI acceptance of membership, to be bound by the terms and conditions of the CSI By-Laws, Code of Ethics and CSI Board-approved administrative policies and procedures as they may be amended from time to time.

* Electronic Signature

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