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WISCONSIN TOWING ASSOCIATION

MEMBERSHIP APPLICATION

(Please fill in the boxes, print out the form and send to WTA using the information at the bottom of this page.)

 
Company Name
Contact Name
Title
Mailing Address
Street Address
City
State
Zip
Phone
Fax
Watts
Email

 

Annual Dues Schedule: 

WI Towing Firms $170 for ONE unit*
$20 for EACH additional unit
Allied $185
Out of State $90
Friend $30

*"Units" are defined as wreckers, car carriers, and tractor/lowboy or tractor/flatbed combinations.

What type of company are you?

Towing Firm - How many units do you have?
Allied   (please specify type of business)
Out of State Towing Firm
Friend of Towing

  
Payment options: Check enclosed Bill me Charge my credit card

If you are charging your dues on your credit card, please enter your information in the boxes below.

Credit card#: 

Exp date:

Please print this form out and either mail or fax it to:

Wisconsin Towing Assn
P.O. Box 44849
Madison, WI  53744-4849
Fax: (608) 833-2875

 

Copyright 1999
This page last updated: 09/11/2004