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AIWD Prospective Member Form

All information will be kept confidential by the AIWD Exec Dept.

Multi-line address
How did you hear about us?

Please answer "Yes" or "No" to the following questions:

Does your company sell welding supplies, welding machines, or related hard goods?
Yes
No
Do you repair Welding Equipment?
Yes
No
Do you have a CO2 Bev. Carb business?
Yes
No
Does your company sell safety supplies?
Yes
No
Does your company sell hand tools?
Yes
No
Does your company sell Industrial Gases?
Yes
No
Does your company sell Specialty Gases?
Yes
No
Does your company fill specialty gas cylinders?
Yes
No
Does your company fill industrial gas cylinders?
Yes
No
Do you wish to become a member of AIWD?
Yes
No
Are you a member of a buying group?
Yes
No

Please answer the following questions:

Add your text

Please check and/or add who your core suppliers are:

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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Association of

Independent Welding Distributors

PO Box 154

Statesboro, GA 30459

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