Application Form

About AHTD

For over 40 years the Association for High Technology Distribution (AHTD) has worked to increase the productivity, profitability, and market share of our Automation Solution Providers and Manufacturers. Today, through a wide spectrum of association programs and services, designed by and for members, AHTD is a valuable resource for member companies to achieve their goals.

Manufacturer Membership (MAN) manufactures industrial automation products (IAP) for use in manufacturing machines, processes, or systems which require technical application expertise and their primary sales channel must be through independent ASPs.

Automation Solutions Provider / Distributor (ASP) is an independent value-added distribution organization that focuses on the sale of Technology based industrial automation products (IAP), Design and application engineering, and Support services.

AHTD’s Board of Directors will review the completed application to confirm the responses fit the association’s Membership Eligibility Requirements.
Date

MonthDayYear
Date
Organization Name*
Street Address*
City*
State/Province*
Postal Code*
Country*
General Phone*
Enter numbers only, no spaces or dashes, ex: 5553334444
Website*
Senior Management First Name*
Senior Management Last Name*
First Name of Individual Completing Application*
Last Name of Individual Completing Application*
Email*
example@example.com
Marketing Contact First & Last Name*

First NameLast Name
Marketing Contact Email*
example@example.com
Company Profile
How many years has your company been in business?*
How long have you been continuously distributing industrial automation products?*
Does any manufacturer, for whom you distribute products, have direct or indirect control over the operation of your business?

YesNo
If yes (now or ever), please explain in detail:
List the IAP products you sell or attach to this application.*
Attach IAP products list here: (if needed)

Browse Files

Cancelof
Check the Product Categories that you operate within.*

Electronic SensorsIndustrial Automation and Control SoftwareMachine SafetyPneumaticsRobotics
Check the category below that best represents the total dollar volume of industrial sales of products and services for your ASP organization projected for the current year.

Under $1 Million$1 - $10 Million$11 - $25 Million$26 - $100 Million$101 - $500 MillionOver $500 Million
Check the category below that best represents the AVERAGE annual dollar volume of the industrial sales for your ASP organization over each of the past three (3) years.

Under $1 Million$1 - $10 Million$11 - $25 Million$26 - $100 Million$101 - $500 MillionOver $500 Million
What percent of your ASP organization's total operating income for the past twelve months (or for your most recently completed fiscal year) came from buying and reselling of IAP?*
What percent of your total company's (all divisions) sales, by dollar volume, for the past twelve months (or for your most recently ended fiscal year) came from IAP sales?*
Do you currently own and maintain inventory at the ASP location applying for this membership?*

YesNo

For statistical purposes, identify the number of employees involved in your ASP organization by filling in the following:*

Rows	Number of Employees
How many application engineers/product specialists?
How many field sales employees?
How many inside sales employees?
How many warehouse/delivery support personnel?
How many administrative/clerical support personnel?
Total number of employees

The next section helps us understand the value-added services that your ASP organization provides and, therefore, the answers to these questions are very important to the Board of Directors. Please answer with respect to the current year, and for the three full years immediately preceding membership, with a Yes or No.
Do you have one or more members of your sales force factory-trained to an application support level for each of your IAP product lines?

YesNo
Do you provide application engineering support for your customers through field sales/additional support personnel?

YesNo
If yes, please be specific.
Do you provide product application education through seminars, schools, etc.?

YesNo
If yes, be specific, including frequency of such events.
Do your sales presentations include live product and are they conducted in a demonstration room/laboratory your facility provides for such presentations?

YesNo
If yes, please be specific.
Do you provide post-order product service and warranty support after the sales and how is warranty support handled?

YesNo
If yes, please be specific.
Do you offer customer product installation and/or start-up assistance? Is this work done directly or indirectly by your organization?

YesNo
If yes, please elaborate.
Please list other value-added services that you feel distinguish your organization from your competitors.
OPTIONAL: List any manufacturers you feel should be considered for AHTD membership.
How did you hear about AHTD?*

LinkedInWebsiteEmailGoogle SearchEventOtherOther
Total Annual Revenue (current year):*
The applicant understands that AHTD calculates dues based on a member's total annual revenue. Dues levels are reviewed annually. The applicant understands that submission of this application, including total annual revenue data, does not constitute approval for association membership. All applications are subject to review and approval in accordance with AHTD policies and procedures.
Certificate of Application
Automation Solution Provider Membership Commitment*

The Senior Executive responsible for all sales philosophy, distribution policies, and operations for Industrial Automation Products (IAP) must agree to and in fact attend at least one meeting per year. While the Senior Executive is urged to attend two meetings per year, only one is required to maintain membership privileges. I certify that all of the information submitted within this application is correct and in order. Additionally, I confirm that the Senior Executive described above will attend and participate in AHTD meetings, as required under AHTD bylaws. I acknowledge that to become an Automation Solution Provider member of AHTD, an applicant must fulfill the ASP Eligibility Requirements for the current year, and for the three full years immediately preceding membership, and during the course of membership. AHTD may, at its discretion, approve members that do not meet ASP eligibility requirements if AHTD deems the ASP would add value to the association. Applicant agrees to comply with AHTD bylaws, rules and regulations and must certify that they meet the membership eligibility requirements by providing documentation to that effect, if requested by the Board of Directors.
Signature

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Association for High Technology Distribution (AHTD)
N19W24350 Riverwood Drive, Waukesha, WI 53188
Phone: 262.696.3645 | Email: ahtd@ahtd.org | Website: https://www.ahtd.org
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Company Profile

Certificate of Application