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AMD CERTIFICATION PROGRAM
2009 License Application Form
Application Date
MM/DD/YYYY
Company Name
Address
City
State/Province
Zip
Contact First
Contact Last
Telephone
Extension
Email
Fax
Plant Information
Number of plant locations seeking certification or quality assurance services:
Are the plant locations, in which final assembly of the product occurs, located within the continental United States?
Yes
No
If the answer to the above question is “NO”, please list the city and country in which final assembly of the product occurs.
City
Country
Type of Products Seeking Certification For
Licensee Information
New Licensee and an AMD Member:
New Licensee and
not
an AMD Member:
Existing Licensee and adding a new program(s):
Check Program(s) Applying For or Adding On
Structural/Impact Certification Program
(may include standards such as ASTM E330/E331/E1886/E1996/AAMA/WDMA/CSA 101/I.S.2/A440-05/TAS 201/202/203/DASMA)
Manufactured Housing Certification Program
(may include standards such as AAMA 1701.2/1702.2/1704.1)
NFRC/Thermal Certification Program
(may include standards such as NFRC 100/200/ 400/500)
Insulating Glass Certification Program
(may include standards such as ASTM E2188/2189/2190)
Quality Assurance Program
(this program complies to ISO 17020)
Authorized Signer
By submitting this form, I confirm that I am an authorized signer with the named company identified in the License Application for the AMD Certification Program.
Please enter the security code as shown above:
AMD will contact the certification validator who will provide you with the license agreement, procedural guidelines and all other pertinent documents required for the applicable program.
