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Northwest Tire Dealers Association
Membership Application
Firm Name_______________________________________
Firm Address_________________________________________
City________________ State______ Zip ______________
Contact Name__________________________________________
Contact Title_______________ E-mail______________________
Phone (____) ______________ Fax (____) _________________
Membership Recommended by (optional)____________________
I'd like to pay my dues: Annually____ Semi-Annually ___
Signature_________________________ Date_________
Print form & mail with check to:
NWTDA
93705 E. Granada Ct.
Kennewick, WA 99338
Please make checks payable to NWTDA
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Annual Membership Dues Voting Members Gross Sales to $750,000...................................................$150.00 $750,001 to $3,000,000......................................................$275.00 Over $3,000,000..................................................................$500.00 Branch Stores......................................................................$75.00
Manufacturer Representative..........................................$150.00 Supplier To $750,000 Gross Sales.................................$150.00 Supplier $750,001 to $3,000,000....................................$275.00 Supplier Over $3,000,000..................................................$500.00
Non Voting Members Associate Member (out of State)........................................$85.00 |
Northwest Tire Dealers Association
Dick Nordness, Executive Director
Phone: 509-948-2433 E-mail Fax: 509-627-3975
93705 E. Granada Crt, Kennewick, WA 99338