NAHAD Hose Safety Institute Manufacturer & Associate Application

Manufacturer & Associate
All new Institute Memberships are provisional; compliance with all Institute Membership Requirements must be attained within six months of joining.
Company Name:
Address:
City:
State/Province:
Zip/Postal Code:
Country:
Telephone:
Exam Coordinator:
Name:
Email Address:
Phone:

Hose Safety Institute Membership Agreement
By becoming a member of the Hose Safety Institute you agree to all Institute Membership Requirements, including ensuring all company employees have access to the Handbook.
Principal's Name:
Date:
Email:
Institute Membership Fee (please select all that apply):
Handbook
$158 2 Exams (minimum required)
   - denotes required fields

Join the NAHAD Community

Become a part of the community dedicated to growth and prosperity in the hose and hose accessory industry.