APPLICATION OF NATD MEMBERSHIP
(PHONE: 561-266-9440 FAX: 561-266-9017 in the U.S.)
Date Founded________________________ Date Started Operating________________
Web Address _______________________________
Type of Company (LLC, Partnership, Corporation) ____________________
Number of Employees _______
Business Profile (Check off all that apply and add any additional information that helps explain what your company does.)
___ Leasing
___ Repairs ___ Depot ___ On Site
___ Manufacturer’s Products you sell _____________________________________
50 Words or less about your company ________________________________________
DUES
All NATD Members (both Regular and Vendors) pay $1050 US in annual dues. NATD Member companies
from outside the USA pay $800 US in annual dues.
Ownership: List major controlling stockholders/owners and their percentage of ownership:
____________________________/_________ _________________________ _/________
Name % Owned % Owned
____________________________/_________ __________________________/________
Name % Owned % Owned
REFERENCES:
1. Please list three NATD Members who wish to sponsor your membership in the NATD:
NATD Member Company & your Contact and Phone Number
NATD Member Company & your Contact and Phone Number
NATD Member Company & your Contact and Phone Number
2. If you are a Business Partner for a major manufacturer such as Avaya, Nortel or Siemens please let us know:
3. Please give us three trade references.
Company & Contact and Phone Number
_______________________________________________________________________
Company & Contact and Phone Number
_______________________________________________________________________
Company & Contact and Phone Number
4. The NATD is always looking for members to join our Committees. Let us know if you would be want to volunteer to be on any of the following Committees:
____ Vender Committee (Companies who sell to NATD Members)
____ Avaya Committee
____ Membership Committee
____ Nortel Committee
____ Siemens Committee
____ Public Relations Committee
____ VOIP Committee
I understand that the NATD Ethics Committee will review any infractions of the letter and intent of the Code of Ethics with regard to proper ethical behavior and integrity and that any Member who violates the spirit and letter of the rules as set down by this Association may be faced with disciplinary action and/or expulsion from the Association. Upon acceptance into the NATD, we hereby agree to abide by the Code of Ethics. In the event we are judged to be in violation of the Code of Ethics we know that we face disciplinary action and/or expulsion from the Association. We agree to waive all legal remedies we may have against the Association or its Members for such action. I further understand that membership in the North-American Association of Telecommunications Dealers is to be based upon the above qualifying information.
By signing below you indicate that you agree to abide by the NATD Code of Ethics.
By (Name) ____________________________ Title _____________________________________
Signature _______________________________ Date _____________________________________