Membership Application

Membership Year- 2018

Firm Name
Address or P.O. Box
City
State
Zipcode
Phone
Fax
E-Mail
Name of Dealer Principle/Manager
Annual Sales Volume
Number of Employees
Main/Single Location
Price: $550.00
Additional Locations
Price: $400.00 Quantity:
Options
- Outdoor Power Equipment (Exclusive)
- Farmstead Mechanization
Total Dues Investment
$0.00
Dealer Classifications
Please list the appropriate category and state percentage of business
Agricultural Equipment %
Industrial/Construction Equipment %
Additional Ag & Industrial Locations %
Outdoor Power Equipment %
Farmstead Mechanization %
Miscellaneous/Other %
Equipment Lines Carried
Major Lines
Short Lines
Dues to Midwest-SouthEastern Dealers Association are not deductible as a charitable contribution but a portion may be deductible as an ordinary business expense to the extent the association engages in state and/or federal lobbying. The nondeductible portion of dues for the 2016-2017 year is 11.2%

Dealer Classifications