INTEGRATED WHOLESALE DISTRIBUTOR MEMBERSHIP APPLICATION
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1 INTEGRATED WHOLESALE DISTRIBUTOR MEMBERSHIP APPLICATION Any whlesale distributin business fr HVACR equipment, parts and/r accessries which perates as a subsidiary f a nnwhlesaling incrprated business entity such as a manufacturer, mass merchandiser, entity, energy prvider, cnslidatr r e-cmmerce business, and whse crprate parent maintains Supplier Membership is eligible t make applicatin fr Integrated Whlesale Distributr Membership. Additinally, said whlesaler shall have cmpleted and can verify cmpletin f a minimum f ne year in business and shall nt engage in the service r cntracting f heating, refrigeratin r aircnditining equipment. (The crprate parent f the Integrated Whlesale Distributr making applicatin is required t maintain a Supplier Membership in the assciatin t ensure cntinued interactin with ther whlesale distributin members.) This membership classificatin prvides the fllwing benefits t the Integrated Whlesale Distributr: One vte fr each participating subsidiary in gd standing in the business f the assciatin Full participatin by each participating subsidiary in all prgrams and services f the assciatin Individual directry listings fr crprate and participating subsidiary including their respective branch lcatins Cmplete cmmunicatin f assciatin business t crprate parent and participating subsidiaries Any individual affiliated with, r emplyed by, an Integrated Whlesale Distributr is eligible t make applicatin, prvided such individual is in a psitin f plicy-level management fr the applicant cmpany.. Cmpleted applicatins shall be submitted t the HARDI ffices. Upn apprval f the applicatin by the Bard f Directrs and receipt f membership dues, the applicant shall becme a member. Whlesale distributr members in gd standing shall have the right t ne vte and t all ther rights and privileges f membership. Firm s funding date: # f years actively invlved in distributin f HVACR prducts: # f Emplyees Firm Name: # f Lcatins: Firm Address: Street City State/Prvince Zip Phne: ( ) Fax: ( ) Plicy-level Executive Filing Applicatin: Address: Name Web Address: Title Signature f Applicant (plicy-level executive) Date Hw did yu hear abut the benefits f jining HARDI? (Check all that apply) HARDI website Viewed a HARDI advertisement Current HARDI member referral Trade Press Publicatin? HARDI 445 Hutchinsn Ave., Ste. 550, Clumbus, OH Tll Free: PHONE: : acrks@hardinet.rg
2 It is required that yu as an applicant have a HARDI member as a spnsr. This spnsr may als be used as ne f yur references. Spnsr s Firm: Spnsr s Name: Whlesale Distributr Cmpany Infrmatin Please indicate yur primary business emphasis cde(s): CS Cntrls Specialist HY Hydrnic Heating REF Cmmercial Refrigeratin HVAC Equipment & Supplies ENG Engineered Prducts SM Sheet Metal & Supplies HARDI prvides each member rganizatin with several benefits, please indicate what benefit(s) are mst imprtant t yu: Affiliatin with Industry Assciatin Advcacy Benchmarking and Industry Data Educatin Netwrking/Meetings Membership Fees and Authrizatin Please remit yur cmpleted applicatin and $ initiatin fee. Each applicant understands that if fr any reasn their applicatin is nt accepted by the Bard f Directrs, the initiatin fee will prmptly be refunded in full. HARDI Attentin: Alyssa Crks 445 Hutchinsn Ave. Ste. 550 Clumbus, Ohi : (614) Credit Card Infrmatin: AmEx Discver MasterCard Visa Card Number: Expiratin: CVV # Name n the Card: Authrized Officer: Title: Date: Signature: Upn apprval f ur applicatin, the abve credit card may be charged fr ur pr-rated membership dues. Integrated Whlesale Annual Membership Dues: Integrated Whlesale Divisin Fee $7,000 Each Participating Whlesale Subsidiary $ 350 Please cmplete and sign the attached Affidavit in Supprt f Applicatin fr Membership in HARDI as an Integrated Whlesale Distributr. Dues based n HARDI s Fiscal Year January 1 December 31. First year dues, excluding initiatin fee, are calculated n mnths remaining in the fiscal year, nce the Bard f Directrs apprves the applicatin. Under Federal Law, cntributins r gifts t HARDI are nt tax deductible as charitable cntributins. Hwever, they may be deductible as rdinary and necessary business expenses. Dues are deductible as rdinary and necessary business expenses t the extent that they are nt utilized fr lbbying purpses. Under the Omnibus Budget Recnciliatin Act f 1993, HARDI must estimate the percent f dues which will be expended fr lbbying and ntify members f the amunt f their nn-deductible dues. Fr Fiscal Year 2018, we estimate this amunt t be 6% f yur dues. HARDI 445 Hutchinsn Ave., Ste. 550, Clumbus, OH Tll Free: PHONE: : acrks@hardinet.rg
3 Participating Subsidiaries Please list all participating subsidiaries that yu wish t be included in this applicatin, including cmpany name, address, prime cntact, etc. Each subsidiary will be individually inviced fr annual dues HARDI 445 Hutchinsn Ave., Ste. 550, Clumbus, OH Tll Free: PHONE: : acrks@hardinet.rg
4 Participating Subsidiaries (cnt.) HARDI 445 Hutchinsn Ave., Ste. 550, Clumbus, OH Tll Free: PHONE: : acrks@hardinet.rg
5 AFFIDAVIT IN SUPPORTOF APPLICATION FORMEMBERSHIP IN HARDI AS AN INTEGRATED WHOLESALE DISTRIBUTOR The undersigned, being first duly swrn n ath states: 1. ( Applicant ) is an applicant fr membership in Heating, Aircnditining & Refrigeratin Distributrs Internatinal (HARDI) in the Integrated Whlesale Distributr member categry. 2. The Applicant acknwledges that t qualify fr initial, and cntinuing, membership as an Integrated Whlesale Distributr, the Applicant shall: a. nt engage in the service r cntracting f heating, refrigeratin r air-cnditining equipment, b. be actively and respnsibly engaged in business fr a perid f at least ne year, c. be a whlesale distributin business fr HVACR equipment, parts and/r accessries which perates as a subsidiary f a nn-whlesaling incrprated business entity such as a manufacturer, mass merchandiser, energy prvider, cnslidatr r e-cmmerce business and whse crprate parent maintains Supplier membership in HARDI, and d. At all times meet the membership criteria. 3. The Applicant is rganized under the laws f as A crpratin, A limited liability Applicant, r Other entity, (describe) and is in gd standing in such state. 4. The undersigned states that the Applicant is nt engaged in the service r cntracting f heating, refrigeratin r air-cnditining equipment. 5. The undersigned states the Applicant des nt have any wnership r ther interest in, r any cntrl ver, anther entity (e.g., crpratin, limited liability Applicant, partnership, jint venture, etc.) which is engaged in the service r cntracting f heating, refrigeratin r air-cnditining equipment. 6. The undersigned states that the Applicant is (is nt) wned r cntrlled, in whle r in part, by any entity that is engaged in the service r cntracting f heating, refrigeratin r air-cnditining equipment. HARDI 445 Hutchinsn Ave., Ste. 550, Clumbus, OH Tll Free: PHONE: : acrks@hardinet.rg
6 7. The undersigned states that the Applicant shall ntify HARDI in writing within ten (10) business days fllwing any changes in the accuracy f any statements in this affidavit. If the facts made in this affidavit subsequently change r are n lnger true, r the Applicant ceases t meet the membership criteria, the Applicant acknwledges that its membership as an Integrated Whlesale Distributr member is subject t immediate cancellatin. 8. The undersigned states that he r she is authrized t give this affidavit n behalf f the Applicant and has persnal knwledge f the facts stated herein. SUBSCRIBED and SWORN t befre me this day f, 2018 Signature: Name: Title: NOTARY PUBLIC HARDI 445 Hutchinsn Ave., Ste. 550, Clumbus, OH Tll Free: PHONE: : acrks@hardinet.rg
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