MATDA Membership Application To begin enjoying these benefits please print out & mail the application and dues to MATDA Box 8479, Topeka, Kansas 66608.
Firm Name _______________________________Contact Person_________________________
Street Address_______________________________________________________________________
City/State/Zip___________________________________________________________________
Phone (_____)_______________________ Fax (_____)_____________________________ E-mail: ____________________________ Web page: ______________________________
County_____________________ Member Category (circle one below): Dealer Branch Manager Affiliate
Products offered: _______________________________________________________________ Tire Brands :___________________________________________________________________ Services offered: _______________________________________________________________
Number of branch stores:_____ Are you interested in the National Tire Dealers Association?_____
Who recommended MATDA to you?_________________________________________________
Phone: 785-286-1110 FAX: 785-286-0611 Mid-America Tire Dealer's Association 7321 N.W. Rochester Road, Topeka, Kansas 66617
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