Sustaining Membership Application

Interested in becoming a Sustaining Member of Dig Safely New York? Please complete the form below.

Yearly Sustaining Membership Benefits:

Acknowledgement in the Annual Report of Dig Safely New York.
Acknowledgement on the Dig Safely New York website including contact information, logo space and a link to your home page.
Opportunity for exhibitor space provided at a discounted rate at our Annual Business Meeting.
Opportunity for exhibitor space provided at a discounted rate at our Excavator Safety Seminars.
Damage prevention educational materials and promotional items are available upon request.
Entering Design Location Requests using i-notice after proper training.
Private locators have the opportunity to be listed on the "Private Locator" website page.

Sustaining Membership Contribution: $175.00

All monies collected from sustaining members are used for the education of the public to build damage prevention awareness.Yearly membership begins on January 1 and ends December 31. Please forward your contribution check of $175.00, payable to:

Dig Safely New York, Inc.
Attention: Aimee Milks
Dig Safely New York, 6706 Collamer Road, East Syracuse, NY 13057

Please contact Aimee Milks at ammilks@digsafelynewyork.com or 315-437-7394 with any questions. If you have a logo you wish to include on our website, please attach it to your email.

Company Name *

Contact Name *

Current Address *

Country *

Address 1 *

Address 2

City *

State *

ZIP Code *

Email *

Phone (Office) *

Phone (Mobile)

Fax

Products/Services Provided

Contact (if different than above)

Website

Phone

Private Locator?

If you are a private locator, please select "Yes" to be listed on the "Private Locators" page on our website.

Yes