Become a Member

 

Become a Member

If you would like to explore becoming a Member of the IWDC,  please fill out the below fields while online. Or, please download, complete and submit our New Prospective Member Profile
 
You can submit it as an email attachment to sales@iwdc.coop.
 
If you would prefer a call first to discuss your interest, please contact the IWDC and provide us with your contact information.
 
Thank You for your Interest in the IWDC!
 
 
Online Form 

* denotes a required field
Company Information:
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Percent Gas, Rent:
Percent Hardgoods:
Number of Years in Business:
Ownership Structure:
Are you affiliated with a buying group?:
Affliliated Buying Groups:
Geographic Area Served:
Key Supplier Information:
Liquid Nitrogen Supplier:
Liquid Oxygen Supplier:
Liquid Argon Supplier:
Helium Supplier:
Specialty Gas Supplier(s):
Spec Gas Lab:
Miller Authorized:
Hypertherm Authorized:
Thermadyne Authorized:
Lincoln Authorized:
ESAB Authorized:
Buy from NASCO:
Buy from Other Wholesaler:
Additional Company Information:
Number of Facilities:
Equipment Repair and Rental:
Leadership Succession Plan:
Bulk Gas Distribution Capabilities:
Bulk Gases:
If involved in a Mircobulk Gas program,:
Growth Plans:
Other Company Capabilities:
**We do not sell, rent or otherwise distribute your private information to any third party. Please see our Privacy Policy for more information.
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