Information about http://www.tireindustry.org/pdf/tia_member_app.pdf
MEMBERSHIP …
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Created: Tue Jul 11 12:56:42 2006
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MEMBERSHIP
®
A P P L I C AT I O N
I. WAYS TO JOIN
MAIL PHONE FAX WEBSITE
Tire Industry Association 301.430.7280 301.430.7283 www.tireindustry.org
1532 Pointer Ridge Place 800.876.8372
Suite G
Bowie, MD 20716-1883
II. CONTACT INFORMATION
Name ________________________________________________________________________________________
Company ____________________________________________________________________________________
Mailing Address ________________________________________________________________________________
City ______________________________________ State __________________ Zip ____________________
Phone ____________________________________ Fax ____________________________________________
E-mail ____________________________________ Website ________________________________________
III. ANNUAL MEMBERSHIP DUES
Dues are based on annual sales volume.
$0 - $750,000 in annual sales ..............................................................................................................$250 annual dues
$750,001 - $3 million in annual sales ....................................................................................................$500 annual dues
$3 million - $5 million in annual sales ..................................................................................................$750 annual dues
$5 million - $10 million in annual sales ..............................................................................................$1,000 annual dues
$10 million - $20 million in annual sales ............................................................................................$2,000 annual dues
Over $20 million in annual sales ........................................................................................................$3,000 annual dues
Additional branch locations ....................................................................................................................$100 annual dues
TIA Membership Year is July 1 to June 30.
IV. MARKET
Select the market you represent.
Commercial Retail Retread/Repair Recycling
V. CATEGORY
Select all categories that apply to your primary business.
Commercial Tire Dealer Manufacturer Retail Tire Dealer Tire and Rubber Recycler
Fleet/Municipality Marketer/Consultant Retreader DOT Code _______ Wholesaler/Distributor
Industrial OTR Supplier Other
VI. METHOD OF PAYMENT
Check (Make payable to TIA) VISA MasterCard AMEX
Credit Card Number __________________________________________________ Expiration Date ____/____/____
Card Holder Name (Please print) ____________________________________________________________________
Card Holder Signature ____________________________________________________________________________
Today's Tire Industry magazine subscription price of one year ($26) is included in dues, and members may not deduct subscription price from dues.
For U.S. citizens only: TIA dues are not deductible as a charitable contribution for federal income tax purposes, but may be deductible as a business
expense. TIA estimates that 5% of your dues are not deductible because of TIA's lobbying activities on behalf of its members.