ISD Affiliate Membership Application

All applications are reviewed by ISD's Membership Committee, 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?

Affiliate Members (non-voting category) shall be business entities (such as corporations, partnerships and sole proprietorships) that provide specific products and/or services of value to the members of the Association, and who support the Association’s mission and purpose. Affiliate Members shall not be engaged in the production or sale of products and/or services that are handled in the ordinary course of business conducted by the Association’s Distributor or Associate Members. Affiliate Members may not be manufacturer’s representatives, agents or master distributors.
Please describe your products/services:

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.

Isd Distributor 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 $100 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.
   - denotes required fields