AHTD Strategic Business Partner Program Application

AHTD Strategic Business Partner Program Application

Any company that offers a strategic product or service to the industrial automation distribution industry or has shown a significant commitment to the industry, and who meets the qualification requirements adopted by the Board of Directors, may be eligible to participate in the Strategic Business Partner Program upon payment of the required fees.

The Strategic Business Partner will be known to AHTD as selling or providing a business product or solution that is strategically related to the industrial automation industry at the sole discretion of the Board of Directors.

Date

Company Name*

Address*

City*

State / Province*

Postal Code*

Country*

Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

Website*

Email*

example@example.com

Name of Individual Completing Application*

First NameLast Name

Title*

Please enter your job title.

How many years has your company been in business?*

Describe the strategic product or service your company can provide to AHTD member companies.*

Indicate the company that referred you to AHTD. If you were referred by a particular person within the company, include that person's name. Designate only one individual per company.

Rows	Type in the open rows below.
Company
Individual Name
City/State
Title

Eligibility Requirements

Applicant must provide a business product or solution that is strategically related to the industrial automation industry.
Applicant must provide a service/product that is in the best interests of AHTD and its members.
Applicant must not qualify for AHTD membership under criteria of Automation Solutions Provider (ASP) or as a Manufacturer.
Applicant must meet these qualifications and such other criteria as established by the Board of Directors.
Participants will not engage in “spamming” the AHTD membership. Any evidence of such a practice will automatically disqualify the company from participating in the program resulting in fees and benefits being immediately forfeited.
There is no exclusivity of product or service for companies that apply to this program.
Strategic Business Partners cannot serve on the Board of Directors and are not eligible to vote or serve on committees.
Strategic Business Partners may register for AHTD semi-annual conferences, if there is interest in attending, at the usual nonmember rate.

I certify that all of the information submitted within this application is correct and in order. Additionally, I confirm that the company and individual described above (and any individuals from this company) will adhere to the qualifications/terms outlined above. I acknowledge that to become a Strategic Business Partner of AHTD, an applicant must fulfill the Strategic Business Partner Eligibility Requirements. Failure to follow the terms will be cause for automatic dismissal from the program resulting in fees and benefits being immediately forfeited.

Signature*

Use your mouse to draw your signature.

AHTD: N19W24350 Riverwood Drive, Waukesha, WI 53188

262.696.3645 | ahtd@ahtd.org | www.ahtd.org