Washington State Independent Auto Dealers Association
Dealer Member Enrollment
YES! YES!
I know that it is important to be recognized as a professional in the automotive industry! Enclosed are my annual dues to ensure that my business has all the advantages WSIADA/NIADA provides to put me at the forefront of my profession. By completing this form, I am consenting to and giving WSIADA/NIADA, their affiliates and/or subsidiaries, my permission to contact me at the methods I have provided on this form until/unless I revoke that permission in writing. I hereby certify that (I am/we are) eligible for membership in WSIADA.
ENROLL: Member Name Business Name
Dealer No.
MEMBERSHIP CATEGORY:: Dealer Membership is [a] limited to any sole proprietorship, partnership or corporation which is engaged in buying and selling motor vehicles as a principal part of its business; and [b] member must hold a vehicle dealer’s license issued by the Washington State Department of Licensing.
$450 Annual Charge (payable by debit/credit card or company check)ß
Billing Address City
State
Business Phone
Mobile
Zip
County Fax
See reverse side of form for some of the many benefits of WSIADA membership!
PAYMENT METHOD:
CHECK No._______________ (Checks are not accepted for monthly membership payments) VISA
MC
Discover
CARD NUMBER
NAME ON CARD
AMEX
EXPIRATION DATE
CARDHOLDER SIGNATURE
CCV
BILLING ZIP CODE
Disclaimer: This agreement is for one-year membership with WSIADA and may not be cancelled if dealership has used any of the membership benefits. If an outstanding balance by usage of Invoice/Billing benefit is accrued during the year and exceeds $500 or past due 90 days in total, all access to WSIADA services, including education related products, will be suspended until balance is paid in full.
DELIVER TO:
WSIADA 707 Auburn Way South Auburn, WA 98002
FAX 253-804-0844
16 | the Front Row | wsiada.com | November/December 2020
EMAIL(as an attachment) membership@wsiada.com
ENROLL ONLINE www.wsiada.com
