APPLICATION
FOR MEMBERSHIP IN
MHI
Please complete and return to:
MHI
Membership Department
8720 Red Oak Blvd., Suite 201
Charlotte, NC 28217-3992
wmorris@MHI.org
A. GENERAL INFORMATION
Corporate Name (Parent Company)
Division (Corporate Name)
Street Address
City, State, Zip
Mailing Address (if different)
Phone
E-Mail
Year Established and if a Corporation, Place of Incorporation
*President/CEO
(
)
Fax
(
)
URL www.
*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 1.10. (Check appropriate box(es)):
(1)
(2)
(3)
(4)
(5)
(6)
For manufacturers, as defined by the MHI By-Laws Article I, Section 1.10.9.
For systems facilitators / integrators, as defined by the MHI By-Laws Article I, Section 1.10.13.
For consultants / simulators, as defined by the MHI By-Laws Article I, Section 1.10.11 / 1.10.15.
For publishers, as defined by the MHI By-Laws Article I, Section 1.10.14.
For third party logistics providers, as defined by the MHI By-Laws Article I, Section 1.10.23.
For software developers, as defined by the MHI By-Laws Article I, Section 1.10.7.
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) 6/14 Edition
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
Automated Storage/Retrieval Systems
Crane Manufacturers Association of America, Inc.
Conveyor & Sortation Systems
Ergonomic Assist Systems and Equipment Council
Electrification & Controls Manufacturers Association
Hoist Manufacturers Institute
Institute of Caster & Wheel Manufacturers
Integrated Systems and Controls Council
Lift Manufacturers Product Section
Loading Dock Equipment Manufacturers Product Section
Monorail Manufacturers Association, Inc.
Order Fulfillment Council
Protective Guarding Manufacturer's Association
Rack Manufacturers Institute
Storage Manufacturers Association
Supply Chain Execution Systems & Technology Group
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 email permission for MHI use the email 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.
6/14 Edition
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, email and fax permission from MHI to the company
and email addresses and fax numbers specified in this application. I further agree that my express permission to receive faxes and email will
continue and have no date of expiration, unless revoked by me in writing.
Signature:________________________________________________________________________________Date:_____/_____/______
Billing Contact
Name__________________________________________________Title_______________________________________________________
Address (if different from company address)_____________________________________________________________________________ City, State, Zip Code________________________________________________________________________________________________ Phone_________________________________________________Fax_______________________________________________________ E-Mail___________________________________________________________________________________________________________
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.
Name__________________________________________________Title_______________________________________________________
Address (if different from company address)_____________________________________________________________________________ City, State, Zip Code________________________________________________________________________________________________ Phone_________________________________________________Fax_______________________________________________________ E-Mail___________________________________________________________________________________________________________
Alternate Delegate (General Information)
A second person in your company who understands the company's relationship with MHI.
Name__________________________________________________Title_______________________________________________________
Address (if different from company address)_____________________________________________________________________________ City, State, Zip Code________________________________________________________________________________________________ Phone_________________________________________________Fax_______________________________________________________ E-Mail___________________________________________________________________________________________________________
Marketing/Communications Contact (Marketing/Communications Information)
This person has authority to submit edits to company listing and microsite online.
Name__________________________________________________Title_______________________________________________________
Address (if different from company address)_____________________________________________________________________________ City, State, Zip Code________________________________________________________________________________________________ Phone_________________________________________________Fax_______________________________________________________ E-Mail___________________________________________________________________________________________________________
Trade Show Contact (Trade Events Information)
Name__________________________________________________Title_______________________________________________________
Address (if different from company address)_____________________________________________________________________________ City, State, Zip Code________________________________________________________________________________________________ Phone_________________________________________________Fax_______________________________________________________ E-Mail___________________________________________________________________________________________________________
HR Contact
Name__________________________________________________Title_______________________________________________________
Address (if different from company address)_____________________________________________________________________________ City, State, Zip Code________________________________________________________________________________________________ Phone_________________________________________________Fax_______________________________________________________ E-Mail___________________________________________________________________________________________________________
6/14 Edition
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 _____________________________________________________________
E-Mail _______________________________________________ URL/Website _____________________________________________________________
Contact Name _________________________________________ Contact's Title ____________________________________________________________
Please circle the products/services you manufacture. This is how your company will be indexed on MHI.org.
1.
Attachments - Overhead & Lifting
Equipment
13. Containers & Dunnage
27. Mezzanines
41. Robots, Industrial
2.
Attachments Trucks & Mobile Equipment
14. Controls & Controlling Devices
28. Modular Drawer Storage
42. Safety Equipment & Ergonomics
15. Conveyors
29. Monorails & Monorail Systems
43. Scales & Weighing Equipment
3.
Automated Storage/ Retrieval
Systems
16. Cranes
30. Order Picking, Fulfillment &
Delivery
44. Shelving, Workstations & Plant
Furniture
4.
Automatic Guided Vehicle Systems
45. Simulation Software & Services
5.
Automatic Identification Products
31. Packaging & Unitizing Machinery
& Materials
6.
Batteries/Chargers/Motors/Fuel &
Power Systems
32. Pallets & Palletizers
47. Supply Chain Execution Systems
7.
17. Decking and Flooring
Below/Hook Equipment (i.e. slings,
lifts, magnets)
8.
Carousels
9.
Casters, Wheels & Tires
10. Cleaning Systems & Equipment
18. Floor Trucks & Carts
19. Hand Lift Trucks
20. Hoists
21. Hydraulic & Electrical Components/
Controls
12. Consulting & Professional Services
34. Plant/Facility Equipment
22. Integrated Systems and Controls
35. Protective Guarding Products
23. Labels, Labeling Devices &
Tracking Solutions
36. Publications & Associations
37. Racks
24. Lift Products
38. Radio Frequency Identification &
Data Communications Equipment
25. Lift Trucks, Personnel & Burden
Carriers
11. Computer Hardware and/or
Software
33. Parcel, Freight & Cargo Distribution
26. Loading Dock Equipment
39. Remote Control Equipment
40. Reverse Logistics Services
46. Sortation Equipment
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.
6/14 Edition
page 5
MEMBER DIRECTORY WEBSITE LISTING - INDUSTRY
Please select your industry(s) from the following categories:
Air TransportationApparelArts, Entertainment & Recreation
Automotive
Broadcasting
Chemicals
Computer & Electronic Products
Consumer Products
Educational Institutions
Electrical Equipment, Appliances, & Components
Finance & Insurance
Food & Beverage
Government & Military
Health Care
Couriers & Messengers
Intermodal
Machinery
Internet
Leather Products
Nonmetallic Mineral Products
Other Information Services
Paper
Pipeline Transportation
Petroleum & Coal Products
Pharmaceuticals
Plastics & Rubber Products
Postal / Parcel
Primary Metals
Printing
Publishing Industries
Rail Transportation
Sound Recording Industries
Telecommunications
Fabricated Metal Products
Furniture
Hotel & Restaurants
TextilesThird Party LogisticsTransportation
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:
6/14 Edition
Distribution Center
Manufacturing Facility
Warehouse