CONFIDENTIAL

DATE: / June29, 2012
TO: / Room Air ConditionerVerification Participants
FROM: / Ralph Hudnall, Director, Product Certification and Verification
CA: / Charles Samuels
RE: / CERTIFIED PRODUCTION SURVEY
ACTIONS
REQUESTED: / (1)Confirm receipt to AHAM ()
(2)Complete and return form to AHAM () by July 31, 2012

The AHAM Room Air ConditionerVerification Program requires that each participant complete a Production Survey annually so that verification fees for the upcoming calendar year can be accurately determined. The information provided in the survey is kept strictly confidential within AHAM.

Attached is a certified survey form to be completed with your actual production of verified Room Air Conditioners for the twelve-month period of July 1, 2011 through June 30, 2012. You will be invoiced quarterly for the 2013 calendar year based on the fees shown on the attached survey form.

Please note the “Officer Verification” required on the attached sheet. An officer of each participating company should verify all figures reported to AHAM Verification Programs for accuracy and completeness.

There are two steps to completing these forms:

(1)Please confirm receipt of this form to Jessica Bibins at upon receipt.

(2)Complete and return the enclosed confidential survey and Officer Verification by July 31, 2012 to AHAM’s Accounting Department, c/o Peter Frank at .

It is very important that the survey be returned by the due date. If the survey is not returned in a timely manner, it may be necessary for AHAM to remove the participant’s verified model data from the on-line Directory of Verified Room Air Conditioners.

If you believe that the survey should be submitted to someone else within your organization, please forward the survey to that individual and notify Jessica Bibins via e-mail at immediately. Thank you for your cooperation.

INSTRUCTIONS

  1. Confirm receipt of this production survey to Jessica Bibins via e-mail at .
  2. Review instructions and guidelines.
  3. Fill out the Production Survey Form as described on the form.
  4. Review Billing Information.
  5. Have an officer execute the Officer Verification Form.
  6. Return Production Survey Form and Officer Verification Form by July 31, 2012 to:

Peter Frank, Vice President, Finance and Administration

AHAM Accounting Department

Association of Home Appliance Manufacturers

1111 19th Street NW Suite 402

Washington, DC 20036

FAX: (202) 872-9354

E-MAIL:

GUIDELINES FOR OUTSOURCED VERIFIED UNIT PRODUCTION REPORTING

Please use the following guidelines to determine which entity involved in an outsourcing agreement is responsible for reporting and ensuring payment of the verification fees.

1.If a Licensee buys products from another Licensee, the purchasing licensee is responsible for the resulting verification fees and must therefore include the outsourced units in its own production figures (i.e., count the outsourced units as their own production).

2.If a Licensee buys products from a non-licensee, the Licensee is responsible for the resulting verification fees and must therefore include the outsourced units in its product figures (i.e., count the outsourced units as their own production).

3.In the case of an alternative arrangement (i.e., selling licensee agrees to pay the verification fees), the purchasing licensee has the ultimate responsibility of ensuring the outsourced product production data is properly reported and verification fees are paid.

BILLING INFORMATION

The verification participation fee will be divided by four and invoiced at the beginning of each quarter in the calendar year 2012. Current AHAM fees are noted on the survey form.

CONFIDENTIAL

ASSOCIATION OF HOME APPLIANCE MANUFACTURERS

ROOM AIR CONDITIONERVERIFICATION PROGRAM

PRODUCTION SURVEY

July 1, 2011 - June 30, 2012

FOR NEW PARTICIPANTS: RETURN WITH LICENSE AGREEMENT

OPTIONS FOR RETURNING COMPLETED FORMS

Via E-MAIL to Peter Frank at

Via FAX to Peter Frank at FAX No.: (202) 872-9354

Company______Send Invoices to:

Date ______Name ______

Contact Person ______Address ______

Title ______

Telephone # ______Email ______

1. Enter your company’s shipments of verified Room Air Conditioners during the twelve (12) months ending June 30, 2012by brand name. Refer to the instructions on pages 1 and 2 for further information on which brands must be included. / Brand Name / # of Shipments
2. TOTAL # of Shipments
3. Multiply the Total # of Shipments [from #2 above] by 0.035 (for AHAM members) or by 0.06 (for Non AHAM members) to determine the annual verification participation fee. If less than $1,500, enter $1,500 (for AHAM members) or $3,000 (for Non AHAM members). / PARTICIPATION FEE:
$______
COMMENTS:

CONFIDENTIAL

OFFICER VERIFICATION

I have examined the attached ConfidentialCertified Product Survey and billing information. In accordance with the instructions contained on this form, to the best of my knowledge the information presented on this form is complete and accurate.

Signed______

Printed______

Title______

Date______