| Please answer the following questions: |
| How long has your company been in business? Years |
Number of employees: |
| What is your company’s ownership structure? |
| Approximate annual revenue $ |
% Sales mix: Gas & Rent: % |
Hardgoods: % |
Other: % |
| Number of facilities (Main office, branches): |
Please list the cities/towns: |
| Please check and/or add who your core vendors are:
Lincoln
Miller
ESAB
Hypertherm
Hobart |
| Please list any other core vendors:
|
Please describe the geography that your company serves (e.g., state(s), county(ies), radius around a city/town):
|
Please describe the benefits you seek from the AIWD:
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Membership
Membership is open to welding supply and industrial gas distributors that meet the following criteria: Members shall not be companies that have stock or securities listed on a nationally recognized securities exchange or have stock or securities traded over-the-counter; Members shall not have gross annual revenue in excess of $250,000,000; Members shall not have gross annual revenue less than $500,000; Members shall have been in business for more than two consecutive years. Acceptance and membership is subject to AIWD By-Laws and Rules & Regulations.
By this form, I understand that the information provided here is for the sole purpose of applying for membership in the AIWD, Inc., and that it will be held in strict confidence. I believe this information to be accurate. I also understand and agree with the Membership provisions above.
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