ISD Associate 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:
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Company Phone:
Company Fax:
Web Address:
Company Email:
Key Contact Name:
Key Contact Title:
Key Contact Email:
How did you learn about ISD?

Associate Members (non-voting category)shall be business entities (such as corporations, partnerships and sole proprietorships, but not to include manufacturers’ representatives or agents) that: i: Sell fluid sealing products primarily through distributors; or , ii: Sell raw materials necessary to the manufacture or fabrication of fluid sealing products; and , iii: are sponsored by two current ISD members, to be listed above; and , iv: maintain, and provide annual evidence of, product liability insurance of at least US $2 million. (For the purpose of ISD, the fabrication of gaskets, assembly of finished parts into kits, rebuilding of mechanical seals or any consolidations of converting finished manufactured parts as a primary function of a company’s business are not to be considered as a manufacturing process.)
Please list 3 of your current Distributors:
Current Distributor:
Current Distributor:
Current Distributor:

Additional Key Personnel:

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