ISD Distributor Membership Application

All applications are reviewed by ISD's Board of Directors, which reserves the right to accept or reject any application for any reason.

Company Information:

Company Name:
Address:
City:
State/Prov:
Zip/Zone:
Country:
Company Phone:
Company Fax:
Web Address:
Company Email:
Key Contact Name:
Key Contact Title:
Key Contact Email:
How did you learn about ISD?
Distributor Members shall be business entities (such as corporations, partnerships, etc.) that: i: Are engaged in the distribution of fluid sealing products and/or fluid sealing services to industry, institutions, end users, and/or original equipment manufacturers, and who have engaged in such business for a period of at least one year prior to application for membership in this Corporation; and, ii: Are not subsidiaries or affiliates of any fluid sealing manufacturer; and, iii: Act as distributors for products manufactured by two or more manufacturers of fluid sealing products; and, iv: Maintain their own inventory of at least $50,000 at cost of fluid sealing products. Fluid sealing products are defined as mechanical or hydraulic seals, packings or gaskets; and, v: Maintain a minimum annual gross sales of at least $250,000 of fluid sealing products and fluid sealing services.
Please list 3 of your current suppliers:
Current Supplier:
Current Supplier:
Current Supplier:

Additional Key Personnel:

Contact Name :
Contact Title:
Contact Email:
Contact Name:
Contact Title:
Contact Email:
Contact Name:
Contact Title:
Contact Email:
Contact Name:
Contact Title:
Contact Email:
Contact Name:
Contact Title:
Contact Email:

Membership Dues

The dues year runs from January 1 - December 31. Dues are payable with application, and are renewable by January 1.

Dues

Membership Category: Dues Amount
Application Fee:
Company branches listed below, for which the annual service fee is paid, will receive all ISD mailings and communications, and will be published in the Annual Membership Directory and listed on the ISD website.
Additional locations can be listed for $175 per location. Please select the number of Branch locations your company has.
Branch Name:
Address:
City:
State:
Zip/Zone:
Branch Name:
Address:
City:
State:
Zip/Zone:
I have read the membership requirements for my category and attest that my company meets the criteria necessary for membership in ISD.
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