Application for Membership 2018


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Application for Membership in MHEDA

Thank you for choosing MHEDA to be your industry connection. As a member, you join forces with hundreds of material handling companies across the globe.  Please complete the membership application and submit to MHEDA.

1) Primary Contact (first/last name) *
2) Title *
3) Company Name *
4) Mailing Address *
5) Secondary Address
6) City *
7) State *
8) Country
9) Zip/Postal Code *
10) Telephone *
11) (800) Number
12) Fax Number
13) Website Address
14) Company Email Address (Promotional Material will be sent to this address)
15) Personal Email
16) Date Company Was Established (XX/XX/XXXX)
17) Number of Employees
18) What is your primary reason for joining MHEDA?
Dues are deductible as an ordinary and necessary business expense for federal income tax purposes. Federal law requires we notify you that your dues are not deductible as a charitable contribution.

Membership Category Descriptions

Distributor - a firm, corporation, partnership or individual that has operated its business independent from any manufacturer whose equipment it sells, and who has a contract or agreement with a manufacturer or material handling equipment for representation in a specific territory or any firm, corporation, partnership, or individual operating a business independent from any manufacturer, and engaged primarily in the business of sales, servicing or renting new or used material handling equipment and has operated said business for a period of one year immediately prior to application. Distributors have voting power and may serve as an Officer or Director of the Association. (Complete 19a)

Factory-Owned-Branch - a Factory-Owned-Branch or retail owned outlet of manufacturers of material handling equipment and has operated said business for a period of one year immediately prior to application. (Complete 19a)

Manufacturer/Supplier - a firm, corporation partnership or individual which has been engaged in the manufacture and sale of material handling equipment and has operated said business for a period of one year immediately prior to application. (Complete 19b)

Associate - a firm, corporation, partnership, sole proprietorship or individual whose activities and specialized services support the Association’s basic purposes and renders specialized services to the Association and/or its members and the industry they represent and has operated said business for a period of one year immediately prior to application.
(Complete 19b).

 

19) Based on the descriptions above, select your Membership type *
19a) If you are a Distributor or a Factory-Owned Branch, select the dues category that best describes your company's gross annual sales volume of Material Handling Equipment.

Clear Selection
* For each additional $25 million, add $150 and insert the amount in the box below.
19b) If you are a Manufacturer/Supplier/Associate, select the dues category that best describes your company's gross annual sales volume of Material Handling Equipment.

Clear Selection
* For each additional $25 million, add $150 and insert amount in the box below.
Total Membership Dues Amount
20) Complete this section to add 2 additional contacts from your company to receive educational mailings, a subscription the magazine and also listed in the membership directory. Include: full name; title; complete mailing address; phone and email address.
21) DISTRIBUTORS - Name Your Primary Product Line
22) DISTRIBUTORS - List other manufacturers you represent or give a brief description of the nature of your business.
23) What is your sales volume in Industrial Trucks (XXX)%
24) What is your sales volume in Storage & Handling (XXX)%
25) What is your sales volume in Engineered Systems (XXX))%
26) What is your sales volume in Dock & Doors (XXX)%
27) Yes or No: Would you describe your company as a Multi-Line Dealer? To qualify, your company is engaged in a combination of the above categories where any one category is not more than 75%.
28) How did you hear about MHEDA?
29) If you answered industry peer, please give us their name and company.
30a) MANUFACTURER/SUPPLIER - List the types of products manufactured by your company (i.e., powered trucks, order pickers, tires, truck attachments, etc.)
30b. ASSOCIATE - List the type of specialized services your company provides.
Billing Verification Information

 

Billing Address
Billing Zip Code

Thank you for choosing MHEDA to be your industry connection. As a member, you join forces with hundreds of material handling companies across the globe. Please complete the membership application and submit to MHEDA.

Payment Information

Amount to Charge :
Payment Method :
Name on Card :
Card # :
Expires:
CSC (What's this?):



Your form submission WILL be encrypted using SSL to ensure your privacy.