Issue link: https://read.dmtmag.com/i/639444
126 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: ❑ Proprietorship ❑ Partnership ❑ Corporation Which of the following best describes your Sales Territory : ❑ local ❑ regional ❑ N. America ❑ S. America ❑ Europe ❑ U.K ❑ Africa ❑ Russia ❑ Mid.East ❑ Far East ❑ Australia ❑ Other List & Explain companies or separate legal entities and their location affi liated with you by owner- ship, control, management or franchise: PAYMENT FOR MEMBERSHIP IN IDA Complete the Form below OR Call 972-241-1124 or email info@idaparts.org for new WIRING instructions Amount $ Credit Card ❑ AmerExp. ❑ Mastercard ❑ Visa Card Holder Credit Card Number Expiration Date 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 ❑ REGULAR 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. ❑ ASSOCIATE 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: ❑ Retail ❑ Used ❑ Manufacture ❑ Wholesale ❑ Import ❑ Service Primary Lines Of Business: ❑ Engines ❑ Undercarriage ❑ Hydraulics ❑ Power Train ❑ Ground Engaging ❑ Used Equipment ❑ New Equipment Parts/Service for what OEM's? ❑ Caterpillar ❑ Case ❑ Cummins ❑ Detroit Diesel ❑ Dresser ❑ Dressta ❑ Fiat Allis ❑ Hitachi ❑ Hyunda ❑ John Deere ❑ Kobelco ❑ Komatsu ❑ Link-Belt ❑ Terex ❑ Volvo ❑ Other Industry(s) Served: Forestry ❑ Parts ❑ Service Mining ❑ Parts ❑ Service Earthmoving ❑ Parts ❑ Service Marine ❑ Parts ❑ Service Aggregate ❑ Parts ❑ Service Lifting/Material Handling ❑ Parts ❑ Service Paving/Asphalt ❑ Parts ❑ Service Waste Management ❑ Parts ❑ Service Other Specializations: We hereby make application to become a ❑ Regular or ❑ Associate 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 fi scal year basis. We hereby affi 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