APPLICATION FOR MEMBERSHIP IN MHI

Transcription

1 APPLICATION FOR MEMBERSHIP IN MHI A. GENERAL INFORMATION Please complete and return to: MHI Membership Department 8720 Red Oak Blvd., Suite 201 Charlotte, NC Corporate Name (Parent Company) Division (Corporate Name) Street Address City, State, Zip Mailing Address (if different) Phone ( ) Fax ( ) URL www. Year Established and if a Corporation, Place of Incorporation *President/CEO *President/CEO *Vice President *Vice President *Must be executive officers or officials *Names will be listed as certified MHI representatives Please answer (1), (2), (3), (4) (5) and/or (6) below, whichever applies to your company as defined in the MHI By-Laws Article I - Definitions, Section (Check appropriate box(es)): (1) For manufacturers, as defined by the MHI By-Laws Article I, Section (2) For systems facilitators / integrators, as defined by the MHI By-Laws Article I, Section (3) For consultants / simulators, as defined by the MHI By-Laws Article I, Section / (4) For publishers, as defined by the MHI By-Laws Article I, Section (5) For third party logistics providers, as defined by the MHI By-Laws Article I, Section (6) For software developers, as defined by the MHI By-Laws Article I, Section Please list your material handling equipment, systems, publications and/or services offered for sale or distribution in the United States below. Referred by (Name & Company)

2 page 2 B. MHI INDUSTRY GROUPS APPLICANT MUST BE A MEMBER OF MHI TO APPLY FOR MHI INDUSTRY GROUP MEMBERSHIP. Those Corporations having interest in participation in these activities will be forwarded additional information, including dues structure for each group. The MHI Industry Groups, Affiliated Trade Associations and Councils listed below have independent eligibility requirements. Membership in good standing in MHI, while a prerequisite, does not guarantee or imply acceptance or eligibility for acceptance in Industry Groups, Affiliated Trade Associations or Councils. Copies of Industry Group, Affiliated Trade Association or Council By-laws or Rules and Regulations will be sent to you for determining eligibility. Please indicate your interest in the following Industry Groups/Affiliated Trade Associations and/or Councils: Automatic Guided Vehicle Systems Crane Manufacturers Association of America, Inc. Ergonomic Assist Systems and Equipment Council Hoist Manufacturers Institute Loading Dock Equipment Manufacturers Product Section Rack Manufacturers Institute Storage Manufacturers Association Automated Storage/Retrieval Systems Conveyor & Sortation Systems Electrification & Controls Manufacturers Association Institute of Caster & Wheel Manufacturers Lift Manufacturers Product Section Monorail Manufacturers Association, Inc. Protective Guarding Manufacturer's Association Solutions Community Location/Country of Primary Manufacturing Facility and/or Operations C. PROCESSING INFORMATION Applicant has reviewed the applicable By-Laws and believes it is qualified. Applicant understands membership in MHI is a requirement for membership in MHI Industry Groups, which have Rules on eligibility that may differ from MHI (see Page 2 Section B). If approved for membership in the Industry Groups, Applicant agrees to abide by the respective By-laws or Rules, as amended from time to time, including, but not limited to, responsibility for timely payment of dues and assessments. Applicant understands that each Industry Group must approve its application according to their respective By-Laws. Membership in MHI does not guarantee or imply acceptance or eligibility for acceptance in MHI Industry Groups I verify and state that the facts set forth in this application are true and correct and that I am authorized to give consent for permission for MHI use the addresses specified in this application. Signature of Person Authorizing Application Name Typed or Printed Title Date Upon review of this application, notification of MHI Membership status will be forwarded to the individual listed as the Primary Delegate and/or the individual listed above.

3 page 3 D. REPRESENTATIVES To allow us to better serve the needs of your organization, please provide us with the appropriate contact names. These contacts will receive MHI communications directed to their area. By providing the information below and signing, I am authorized to, and give consent for, and fax permission from MHI to the company and addresses and fax numbers specified in this application. I further agree that my express permission to receive faxes and will continue and have no date of expiration, unless revoked by me in writing. Signature: Date: / / Billing Contact Primary Delegate (General Information) This is the person who authorizes and best understands the company's relationship with MHI, has authority to submit edits to company listing and microsite online and approve MHI invoices. Alternate Delegate (General Information) A second person in your company who understands the company's relationship with MHI. Marketing/Communications Contact (Marketing/Communications Information) This person has authority to submit edits to company listing and microsite online. Trade Show Contact (Trade Events Information) HR Contact

4 page 4 MEMBER DIRECTORY WEBSITE LISTING As a benefit of membership, MHI lists members on the MHI website (MHI.org) identifying them and their products or services to the public seeking information or solutions on material handling equipment, systems and logistics providers. The MHI website displays live data that is updated on a regular basis. Please complete this form to receive your company's complimentary listing. If you wish to update your listing, contact the MHI Membership Department at membership@mhi.org Company Name Street Address Mailing Address City State Zip Code Phone Number FAX Number URL/Website Contact Name Contact's Title Please select the products/services you manufacture. This is how your company will be indexed on MHI.org. 1. Attachments - Overhead & Lifting Equipment 2. Attachments - Trucks & Mobile Equipment 3. Automated Storage/ Retrieval Systems 4. Automatic Guided Vehicle Systems 5. Automatic Identification Products 6. Batteries/Chargers/Motors/Fuel & Power Systems 7. Below/Hook Equipment (i.e. slings, lifts, magnets) 8. Carousels 9. Casters, Wheels & Tires 10. Cleaning Systems & Equipment 11. Computer Hardware and/or Software 12. Consulting & Professional Services 13. Containers & Dunnage 14. Controls & Controlling Devices 15. Conveyors 16. Cranes 17. Decking and Flooring 18. Floor Trucks & Carts 19. Hand Lift Trucks 20. Hoists 21. Hydraulic & Electrical Components/ Controls 22. Integrated Systems and Controls 23. Labels, Labeling Devices & Tracking Solutions 24. Lift Products 25. Lift Trucks, Personnel & Burden Carriers 26. Loading Dock Equipment 27. Mezzanines 28. Modular Drawer Storage 29. Monorails & Monorail Systems 30. Order Picking, Fulfillment & Delivery 31. Packaging & Unitizing Machinery & Materials 32. Pallets & Palletizers 33. Parcel, Freight & Cargo Distribution 34. Plant/Facility Equipment 35. Protective Guarding Products 36. Publications & Associations 37. Racks 38. Radio Frequency Identification & Data Communications Equipment 39. Remote Control Equipment 40. Reverse Logistics Services 41. Robots, Industrial 42. Safety Equipment & Ergonomics 43. Scales & Weighing Equipment 44. Shelving, Workstations & Plant Furniture 45. Simulation Software & Services 46. Sortation Equipment 47. Supply Chain Execution Systems 48. Supply Chain Security 49. Sustainable Facility Solutions 50. Systems Integration Services 51. Third Party Logistics 52. Tool Handling & Storage Systems 53. Transportation Providers 54. Vertical Lift Module 55. Vertical Reciprocating Conveyors Brand/Trademark Search List all Legal Trademarks & Brands you wish to be searched under: WEBSITE LISTING: Please list, in narrative form (700 characters max.), your company's material handling and logistics products/services. Please type or print legibly. Do not include anything which describes the quality or other characteristics of your product/services. The purpose of this listing is to identify member companies and their products/ services. The MHI website is searchable by key words; therefore, we recommended that your brand names and trade names be included. Referred by (Name & Company)

5 page 5 MEMBER DIRECTORY WEBSITE LISTING - INDUSTRY Please select your industry(s) from the following categories: Air Transportation Apparel Arts, Entertainment & Recreation Automotive Broadcasting Chemicals Computer & Electronic Products Consumer Products Couriers & Messengers Educational Institutions Electrical Equipment, Appliances, Fabricated Metal Products & Components Finance & Insurance Food & Beverage Furniture Government & Military Health Care Hotel & Restaurants Intermodal Internet Leather Products Machinery Nonmetallic Mineral Products Other Information Services Paper Petroleum & Coal Products Pharmaceuticals Pipeline Transportation Plastics & Rubber Products Postal / Parcel Primary Metals Printing Publishing Industries Rail Transportation Sound Recording Industries Telecommunications Textiles Third Party Logistics Transportation Truck Transportation Warehousing & Storage Waste Management Water Transportation Wholesale Distribution Wood Products MEMBER DIRECTORY WEBSITE LISTING - FACILITY Please select your facility(s) from the following categories: Distribution Center Manufacturing Facility Warehouse