Member - Midwest Auto Care Alliance

Step 1:

Member Info

Company Name *

Please add your company name.

Phone *

Please add your company phone number.

Website

Email *

Please add a valid email.

Physical Address

Address line 1 *

Please add your address.

Address line 2

Country *

Please add your country.

City *

Please add your City.

State *

Please add your State.

Postal Code *

Please add your Postal Code.

Mailing Address

Same as physical address

Address line 1

Address line 2

Country

City

State

Postal Code

Step 2:

Additional Info

Directory Category *

Please select a directory category.

Owner Name *

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Owner Email *

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Owner Cell Phone *

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Spouse Name

Does your spouse work in the business? *

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If yes please include your spouse email

Contact Name (if different than owner)

Contact Email

Contact Cell Phone

Contact Title

Primary Chapter *

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Do we have permission to text you MWACA information? *

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Do we have permission to fax you MWACA information? *

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Division *

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Date You Started in Business

Annual Gross Sales

Full Time Employees

Part Time Employees

Do you have multiple locations? *

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If yes, how many?

Do you have a valid business license? *

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Do you have liability insurance? *

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Do you have a commercial location? *

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Do you have a sales tax license? *

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Reference: Please list industry reference (Name, Title, Company, Phone) *

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Reference: Please list industry reference (Name, Title, Company, Phone) *

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How did you hear about MWACA? *

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Step 3:

Primary Contact

First Name *

Please add your first name.

Last Name *

Please add your last name.

Title *

Please add your title.

Cell Phone

Fax

Email *

Please add a valid email.

Create Account

Password

Step 4:

Billing Contact

Same as Primary Contact

First Name

Last Name

Title

Cell Phone

Fax

Create Account

Password

Step 5:

Membership Package

Please select a Membership Package

MWACA Shop Membership $ 275

Independently owned service or collision repair facility within MO, KS, IA, NE, OK, IL or AR.

MWACA Shop Member - Virtual $ 275

For independently owner service or collision repair facility outside of Missouri, Kansas, Iowa, Nebraska, Oklahoma, Illinois and Arkansas. * Virtual members do not have voting rights

MWACA Allied Membership $ 350

Available to companies providing products, services and benefits to the automotive service industry * Fees are per year. * Allied members do not have voting rights

MWACA Educational Membership

Available to educators of an accredited automotive program. * Educational members do not have voting rights

MWACA Student Membership

Available to a current full-time student enrolled in an accredited automotive program. * Student members do not have voting rights

Additional Options:

16" x 28" Aluminum Sign $25 one time

Save $15 by ordering now! Reg $40 each

Additional Location #1 $100 one time

Please include the address of the additional location in the comment box below. $100 for first year (includes member sign) $75 per year after that

Comments/Questions

Payment Option

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Member Application

Step 1:

Member Info

Physical Address

Mailing Address

Step 2:

Additional Info

Step 3:

Primary Contact

Create Account

Step 4:

Billing Contact

Create Account

Step 5:

Membership Package

Additional Options:

Payment Option