Application Form

AHTD Membership Application for Manufacturers

About AHTD

For over 35 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 Solution Providers (ASP) are independent value-added distribution organizations 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

Organization Name*

Street Address*

City*

State/Province*

Postal Code*

Country*

Website*

General Phone*

Enter numbers only, no spaces or dashes, ex: 5553334444

Senior Management First & Last Name*

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 many years has your company been continuously manufacturing and selling or remarketing Industrial Automation Products (IAP)?*

How many distributors and Automation Solution Providers (ASPs) do you have under contract?*

Percentage of your total Industrial Automation Product (IAP) sales (catalog, brokers, wholesale) in North America?*

	Percentage %
Through ASPs
Through other distributors (e.g. commercial/construction distributors, online resellers, etc.)
Direct (Sales made without any involvement by an ASP and where no commission is paid to an ASP.)

Does your organization have annual sales of Industrial Automation Products (IAPs) in excess of $3,000,000?*

YesNo

Please describe your company's distribution strategy in North America.*

Check the Product Categories that you operate within.*

Please list any AHTD member ASPs who distribute your product(s).*

OPTIONAL: List any ASPs you feel should be considered for AHTD membership.

How did you hear about AHTD?*

Certificate of Application

Manufacturer 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. While the Senior Executive is required to attend at least one meeting per year, AHTD encourages the participation of the CEO, President, CFO, etc., many of whom currently attend AHTD meetings. To be a Manufacturer Member of AHTD, the applicant must fulfill, on a continuing basis, the Eligibility Requirements for Manufacturer members. I certify that the primary sales channel for IAPs must be independent ASPs (i.e., ASP must operate its business free from direct or indirect control by any manufacturer whose product the ASP sells), who resell to the ultimate customer in the industrial control and plant automation marketplace. 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. 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

Use your mouse to draw your signature.

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