Issue link: http://read.dmtmag.com/i/759225
I DA U N I V E R S A L N ove m b e r - D e ce m b e r 2 0 1 6 76 Firm Name Street Address Mailing Address City, State, Zip Country Phone Toll Free # Fax Firm Email Website Primary Contact, Title & Email WHERE ALL IDA CORRESPONDENCE WILL BE DIRECTED TO: Contact Title Email Year Started: No. Employees: Business Type: TProprietorship TPartnership TCorporation Which of the following best describes your Sales Territory : Tlocal Tregional TN. America TS. America TEurope TU.K TAfrica TRussia TMid.East TFar East TAustralia TOther List & Explain companies or separate legal entities and their location af¿ liated with you by owner- ship, control, management or franchise: Referred by PAYMENT FOR MEMBERSHIP IN IDA Complete the Form below OR Amount $ Credit Card TAmerExp. TMastercard TVisa Card Holder Credit Card Number Expiration Date Card security code Authorized Signature Please Note: Annual membership dues are $450.00 US for a year. However if you are located out- side North America you must submit an additional $50.00 US for processing and postage charges. You will receive a membership packet within 2 weeks. Thank you for joining IDA. INDEPENDENT DISTRIBUTORS ASSOCIATION 3030 LBJ Freeway, #125 - Dallas, Texas 75234 Phone: 1 + 972-241-1124 Fax: 1+ 214-722-7658 Email: info@idaparts.org MEMBERSHIP APPLICATION TREGULAR MEMBER: A person or business which has for its principal business activity, but is not exclusively limited to, the general commercial importation, export, sales and/or distribution of replacement parts and/or the providing of similar products and /or services for owners, users, and other commercial businesses that are concerned with but not limited to con- struction, mining, and /or agricultural equipment, mobile equipment, mining machinery, power units, engines, generators, prime movers, drive trains, hydraulic equipment and related and or similar products and equipment. TASSOCIATE MEMBER: A person or business which has for its princi- pal business activity the manufacturing and/or exclusive wholesale distribu- tion of replacement or OEM installed parts for construction mining, and/or agricultural equipment, mobile equipment, mining machinery, power units, engines, generators, prime movers, drive trains, hydraulic equipment and related and or similar products and equipment. Associate Members shall be generally but not exclusively those whose principal business activities is providing their products and/or services to Regular Members REGULAR OR ASSOCIATE MEMBER APPLICATION MUST BE COMPLETE. CHECK THE TYPE OF MEMBERSHIP THAT BEST DESCRIBES THE MAJORITY OF YOUR BUSINESS. We want to refer customers to you. Check the following boxes appropriate to your company. Sales In: TRetail TUsed T Manufacture TWholesale TImport TService Primary Lines Of Business: TEngines TUndercarriage THydraulics TPower Train TGround Engaging TUsed Equipment TNew Equipment Parts/Service for what OEM's? TCaterpillar TCase TCummins TDetroit Diesel TDresser TDressta TFiat Allis THitachi THyunda TJohn Deere TKobelco TKomatsu TLink-Belt TTerex TVolvo TOther Industry(s) Served: Forestry TParts TService Mining TParts TService Earthmoving TParts TService Marine TParts TService Aggregate TParts TService Lifting/Material Handling TParts TService Paving/Asphalt TParts TService Waste Management TParts TService Other Specializations: We hereby make application to become a TRegular or TAssociate Member of the Independent Distributors Association. If accepted, we will abide by the Constitution and Bylaws as they now are or as they may be hereafter amended, support its objectives and interests, and pay the dues established for membership. Membership in IDA is nontransferable and is effective form June 1 to May 31 on a ¿ scal year basis. We hereby af¿ rm that we are not an original equipment manufacturer or dealer, and/or that an original equipment manu- facturer has managing interest in our company. Signed Date Call 972-241-1124 or email info@idaparts.org for new WIRING instructions.