Corporate Entity Information
The information provided in this section must be the same as that provided to the Internal Revenue Service, Federal Trade Commission, or other government entity.
Full and Legal Name of corporate entityAddress
Legal State of Incorporation if domestic,
or Country if International / Parent Company Name
(business enterprise that owns the company, if applicable)
Certification Contact Information
The Certification Contact is AHRI’s point of contact for all issues relating to his/her company’s participation in the AHRI Certification Program, such as certification agreements, test selections and reports, certified directory listings, certification sales volume inquiries, any questions of a technical nature, and compliance with the rules of the certification program. The Certification Contact will also receive courtesy copies of all certification invoices.
Certification Contact’s Name / TitleCertification Contact’s Address, including country (if different than corporate entity address)
Business Phone / Email Address
Billing Contact Information
The Billing Contact will receive all invoices related to AHRI certification and liaison with the Certification Contact for invoice approval.
Billing Contact Name / TitleBilling Contact’s Address, including country (if different than corporate entity address)
Business Phone / Email Address
Chief Executive Officer/President Information
The CEO/President will receive a report each year regarding his/her company’s performance in the AHRI Certification Program.
CEO/President Name / TitleCEO/President’s Address, including country (if different than corporate entity address)
Business Phone / Email Address
Certification Program Information
(a separate application must be filed for each certification program)
AHRI Certification Program Being Applied For/ Active Chilled Beams
Air-Cooled Water-Chilling Packages
Air-to-Air Energy Recovery Ventilators (Component)
Air-to-Air Energy Recovery Ventilators (Packager)
Automatic Commercial Ice-Makers and Ice Storage Bins
Central Station Air-Handling Unit Supply Fans
Central Station Air-Handling Units Casings
Commercial Boiler
Commercial Finned Tube Radiation
Commercial Furnaces
Commercial Refrigerated Display Merchandisers and Storage Cabinets
Commercial Water Heaters
Datacom Cooling
Direct Heating
DX-Dedicated Outdoor Air System Units
Forced Circulation Air-Cooling and Air-Heating Coils
Geothermal - Direct Geoexchange Heat Pumps
Geothermal - Water Source Heat Pumps
Heat Pump Pool Heaters
Indirect Water Heaters
Indoor Pool Dehumidifiers
Liquid to Liquid Brazed & Fusion Bonded Plate Heat Exchangers
Liquid to Liquid Heat Exchangers /
/ Non-Condensable Gas Purge Equipment for Use With Low Pressure Centrifugal Liquid Chiller
Packaged Terminal Air-Conditioners
Packaged Terminal Heat Pumps
Reclaimed Refrigerants
Refrigerant Recovery/Recycling Equipment
Refrigerant Testing Laboratory
Residential Baseboard Radiation
Residential Boilers
Residential Furnaces
Residential Water Heaters
Room Fan-Coil Air-Conditioners
Single Package Vertical Heat Air-Conditioners
Single Package Vertical Heat Pumps
Transport Refrigeration
Unit Coolers
Unit Ventilators
Unitary Large Equipment
Unitary Small Air-Conditioner Equipment
(includes Mixed-Match Coils)
Unitary Small Heat Pump Equipment
(includes Mixed-Match Coils)
Variable Air Volume Terminals
Variable Frequency Drive
Variable Refrigerant Flow
Water-Cooled Water-Chilling and Heat Pump Water-Heating Packages
(other, not listed)
published Names
List all names (under which the product is commercially known) to be affiliated with this corporate entity’s participation in the noted certification program. The corporate entity shall be able to provide proof of legal ownership of the trade and brand names listed.
Note: The full and legal name of the corporate entity does not need to be displayed, and model series names should not be included as a brand name.
Trade Names:
(published as ‘Manufacturer Name’ on the AHRI Directory) / ASSOCIATED BRAND Names:
(one trade name can have multiple brand names; separate by commas)
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Company Type
(please select only one)
Companies applying to be an oem must complete the following sectionOriginal Equipment Manufacturer (OEM):
A corporate entity that manufactures equipment that falls within the scope of a certification program.
Please provide the City and State, or City and County of all Manufacturing Facilities for the certified product
CITY / STATE (if domestic) or Country (if international)
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Companies applying to be a PBM must complete the following section
Private Brand Marketer (PBM):
A corporate entity (capable of bearing legal rights and obligations) that markets equipment manufactured by a different corporate entity (an OEM) under one or more brand/trade names.
CORRESPONDING AHRI OEM PARTICIPANT NAME
Company Address, Country
OEM Contact Name / TITLE
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BUSINESS PHONE / EMAIL
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Corresponding OEM Corporation Name
This application is being submitted by:
Name / dateBusiness Phone / Email Address
Marketing Information:
Marketing Contact Information
The Marketing Contact is AHRI’s point of contact for all issues relating to promotions, advertising, and marketing.
Marketing Contact Name / TitleMarketing Contact’s Address (if different from company address)
Business Phone / Email Address
Other Information
Markets where the certified products are usedCommercial & Industrial / Residential
The AHRI Certification program is separate from the membership organization. Are you an AHRI member? / WHY or WHY NOT?
Yes / No /
Are you aware of the benefits offered by membership in AHRI? Check all that apply.
Industry statistical data
Pre-competitive research
Standards and certification program voting rights / Networking
Legislative and regulatory news and guidance
Certification discounts
Do you ship the product you plan to certify in the u.s. and/or canada? if so, what percentage?
0 – 20% / 21% – 40% / 41% – 60% / 61% – 80% / 81% – 100%
Reason for seeking certification:
Minimum efficiency requirements
Requirement for project
Marketing purposes / Client requested
Competitive edge
Other (please specify):