Distributor Membership Application

Our firm applies for admission to Associate in STAFDA. We comply with these 3 membership qualifications:

Over 50% of our sales volume is done in power tools, fastening systems and other construction/industrial products.
We wholly own (not consigned) and maintain an inventory in these products of $50,000 or more.
We employ 2 or more sales people.

I acknowledge that STAFDA annual dues are $350.

STAFDA may charge my Credit Card for the $350 dues.
STAFDA may invoice me for $350 annual dues.

Company Name

Mailing Address

Street Address

City

State

Postal Code

Country

Phone

Toll Free

Fax

Website

Your Company Contact

Title

Year Your Business Was Founded

Branch Locations

Major Brands Sold

Total Number of Employees

Business Subjects of Special Interest

Annual Sales Volume

Name of Partners, Owners & Officers

We Belong to These Other National Trade Associations

How did you hear of STAFDA?

Rank Top 5 Choices for Convention Sites

Payment Information

Credit Card Number

Expiration Date /

CVV

First Name

Last Name

Billing Address

City

State

Postal Code

Country

Please answer the following question to help limit spam on our application.

What is Three plus Eight? Answer using digits, do not write the word out.