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NAHAD Hose Safety Institute Distributor Member Application Convention Special!

All new Institute Memberships are provisional; compliance with all Institute Membership Requirements must be attained within six months of joining.
Institute Membership fee - $300 per year, per company location 2 MONTHS FREE
Main Company Name:
Location Co. Name (if different)
Location Address:
City:
State/Province:
Zip/Postal Code:
Country:
Telephone:
Fax:
Location Representative to receive all mailings:
Name:
Title:
Email Address:
Phone:
Location Exam Coordinator:
Name:
Email Address:
Phone:
End Markets Served:
Agricultural Machinery OEM
Agricultural Machinery Aftermarket
Automotive OEM
Automotive Aftermarket
Construction Machinery OEM
Construction Machinery Aftermarket
Food & Beverage
Forestry
General Maintenance, Repair and Operations (MRO)
Government (excluding Military)
Heavy-Duty Truck OEM
Heavy-Duty Truck Aftermarket
Industrial Machinery OEM
Industrial Machinery Aftermarket
Life Sciences (medical, pharma, etc)
Marine
Military
Mining
Oil & Gas
Power Generation
Process
Semicon
Description of services available at this location:
(Hint: Be concise, yet descriptive and compelling. Check spelling before submitting)

Hose Safety Institute Membership Agreement
By becoming a member of the Hose Safety Institute you agree to all Institute Membership Requirements.
Principal's Name:
Date:
Email:
By checking this box I understand that I am consenting to pay a $300 fee for Annual Hose Safety Institute Membership (July 1-June 30). I also understand the $300 fee covers one location and to have other locations recognized as a Hose Safety Institute location I must register them separately:
   - denotes required fields

Hose Safety Institute logo

"The Hose Safety Institute has been the ideal environment for our Defense Logistics Agency (DLA) project, Matching Acquisition Strategies to Industrial Capabilities (MASIC), to interact effectively with the hose and accessories industry. It allows us to understand better what deters the industrial hose/fittings community from bidding on Government solicitations and what steps might be taken to improve industry response. NAHAD and the Institute have set the bar very high for future DLA-Industry relationship development. We couldn’t ask for more open and interested collaboration."

Jo Marie Diamond
HSI Advisory Council Member
CEO, East County Economic Development Council / leading DLA Connectory MASIC