Membership Application

Welcome to CBIA!

The next step of the application process is to complete the below form so we can add your company and appropriate contacts to our database. We will never share any company or contact information without your explicit consent.

Please don’t hesitate to contact us if you have any questions.

Company Info

Company Name*

Physical Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Mailing Address

Same as previous

Street Address Address Line 2 City State ZIP Code

Phone*

Website

Number of CT Employees*

Annual CT Payroll Amount*

SIC Code*

LinkedIn Company Page

Facebook Company Page

X Company Handle

Choose All That Apply

Family owned business

Minority owned business

Woman owned business

Veteran owned business

Previous Member of CBIA?

Yes

Unsure

Company Contacts

TOP EXECUTIVE in CT*

First Last

Title*

Email*

Phone

PRIMARY Contact for CBIA Contact*

First Last

Title*

Email*

Phone

BILLING Contact*

First Last

Title*

Email*

Phone

HR Contact*

First Last

Title*

Email*

Phone

ADVOCACY Contact

First Last

Title

Phone

Name

This field is for validation purposes and should be left unchanged.

Economy

HR & Safety

Issues & Policies

Manufacturing

Member News

Media Center

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Membership Application

Welcome to CBIA!

Company Info

Company Contacts

2025 Manufacturing Tour

Company Name & Address

Company Contact Info