COMPANY DATA
Company
Address		City
State		Zip
Country		Phone
Fax		E-Mail
TYPE OF OWNERSHIP
	Individual	Cooperation
	Partnership	_Other
Management
Owner
STATISTICAL INFORMATION
Participants	Year 2003 ______Year 2004 ______Year 2005
Employees	Year 2003 ______Year 2004 ______Year 2005
STATEMENT OF PURPOSE
Mission Vision Philosophy Goals
REFERENCES
Clients
PROFESSIONAL ORGANIZATIONS
Membership
PAYMENT METHOD
I will pay the accreditation fees of $ 2,500 after receiving an invoice.
CONFIRMATION
I am aware of the need for my organization to pass the one-day audit before AATD can issue a certificate and membership seal. Should we not meet the required quality standards we have the option of repeating the audit at a later time. I hereby confirm that the provided information is true and correct to the best of my knowledge.