Automotive Aftermarket Suppliers Association

Automotive Aftermarke Suppliers Association

AASA Supplier Application

* Required Field

Company Information
*Company:
*Street Address:
PO Box:
*City:	State/Province: Zip:
*Country:
*Main Phone:	*Fax:
*Website:

Contact Information:

List the name and title of the company executive to be designated as your company's Member Representative (MR). (AASA strongly suggests that only a top-level executive be named.) The designated Member Representative will be AASA's primary contact with the company and will receive all association service and information mailings.

*First Name:

*Last Name:

*Title:
*Phone:	*Email:
*Address:
*PO Box:
*City:	*State/Province:	*Zip:
*Country:

AASA Membership Eligibility:

Regular Member
Established companies of good repute and sound financial condition, actually engaged in the manufacturing, production, formulation or re-manufacturing of products or services integral to the manufacturing of products for the automotive aftermarket or related business with at least one facility in North America shall be eligible for regular membership in AASA when approved by the Board of Governors.

Division/Product Line Membership
Subsidiaries, divisions or operating units of member companies have the right to apply for membership in the Association provided they meet the association's requirements. Upon approval they shall enjoy all membership services (except for voting privileges).

Membership Dues:
AASA dues are based on the annual North American sales volume of automotive products by member companies. Please check the box next to the sales volume of your company. The right-hand column shows your annual dues. Membership dues for affiliate, division and publishers are a fixed price regardless of sales volume. Dues amount will be prorated, based on application date.

*Total North American Annual Automotive Sales Volume	Annual Dues	*Total North American Annual Automotive Sales Volume	Annual Dues
Under $1,000,000	$900	$250,000,001 to $500,000,000	$9,500
$1,000,001 to $5,000,000	$1,500	$500,000,001 to $1 billion	$11,000
$5,000,001 to $10,000,000	$1,900	$1 billion to $5 billion	$13,500
$10,000,001 to $20,000,000	$2,900	Over $5 billion to $10 billion	$16,500
$20,000,001 to $35,000,000	$4,000	Over $10 billion	$19,000
$35,000,001 to $50,000,000	$4,800		$3,000
$50,000,001 to $75,000,000	$5,800	Divisional/Product Line	$1,200
$75,000,001 to $100,000,000	$6,000	Additional Membership as an HDMA or OESA Member	$1,500
$100,000,001 to $150,000,000	$6,700
$150,000,001 to $250,000,000	$7,900

Other Market Segment Interest

Heavy Duty Manufacturers Association (HDMA)

Original Equipment Suppliers Association (OESA)

*Company Profile(limit 255 characters, you can paste text as well)

Organization

*1. Annual Sales: $(Do not use "," or "$", only whole numbers)

*2. Company Type:
Public Private

Operations

*3. Please list the brands manufactured by your company:

*4. Facilities/Locations in North America

Distribution

*5. Does your company export? Yes No
To what countries do you primarily export?

6. Of your company's total sales,
please indicate the approximate percentage marked through the following channels:
%Original Equipment
%Automotive Aftermarket
%Heavy duty (class 6 and up)

Historical

7. For how many years has your company been in business?

8. For how many years has it been in the automotive/motor vehicle products industry?

Specific Interests

Please select specific AASA/MEMA activities
which you are interested in:

Automotive Public Relations Council
Brand Protection Council
China Aftermarket Forum
European Aftermarket Forum (CLEPA)
Fuel Pump Manufacturers Council
Government Affairs Council
Human Resources Council
Marketing Executives Council
MEMA Technology Council
Overseas Automotive Council

*Products
(Please select all that apply)

ABS Systems	Entertainment	Paint prod and supplies
Accessories (misc)	Equipment	Paints
Additives/Treatments	Exhaust pipes/muffler	Performance/Racing
Air compressors	Filters-air,cabin,oil,trsm	Power tools
Air conditioning/heater	Flashlights	Publishing
Alternators	Floor mats	Radiators
Antifreeze/coolant	Fuel injection	Remanufacturers
Axle components	Fuel pumps	Rotor and drums
Batteries	Fuel system	Safety products
Battery chargers and acc	Fuses	Seals
Bearings	Gaskets	Service equipment
Belts	Gauges	Services and programs
Body parts and supplies	General svc supp	Shocks and struts
Brake products	Hand tools	Shop equipment
Bulbs	Hardware and fasteners	Spark plugs
Camshafts	Head and tail lamps	Starters
Caps/gas,radiator	Heater cores	Suspension and steering
Catalytic converters	Hose	Thermostats
Chassis	Ignition parts	Timing
Chemicals (functional)	Interior	Tires
Chemicals/apperance	Lift equipment	Tools and equipment
Climate control	Lighting forward sys	Transmission
Clutches	Lighting signal sys	Water pumps
Consumer Products	Manifolds	Wax and polishes
CV joints and shafts	Miscellaneous	Wheel/Tires
Diagnostic	Oil and lube	Windshields
Drivetrain products	Oil pumps	Wiper blades and comps
Emission	Oxygen sensors	Wire

*Payment Options(Payment applied upon approval)

Invoice my company using Purchase Order Number:

Check Number: has been sent in the mail.

Charge to my credit card
Credit Card Number: Expiration Date:
Name on Card:

Acceptance of Terms

The above-named company hereby applies for membership in the Automotive Aftermarket Suppliers Association (AASA). Accompanying is our authorization to charge the indicated credit card for one year's dues, based on the category into which our company falls (as indicated in this application), or a P.O. is indicated or a check is in the mail.

We have read the "Eligibility Requirements" of this application and believe our company is eligible for membership. By joining AASA, if your company manufactures original equipment automotive products, you also may be eligible for membership in the Original Equipment Suppliers Association (OESA). If your company has sales of products for class 6, 7 and 8 trucks, your company may also be eligible for membership in the Heavy Duty Manufacturers Association (HDMA).

If approved for membership, the term of our membership is the remainder of the current calendar year. We also agree that, as members of AASA, we will abide by all of the association's bylaws. We understand membership may be terminated if dues payment is more than 60 days past due.

Application is subject to AASA Board of Governors Approval.

I have read and accept these terms and conditions of this application.

*Signature: *Check to Accept:

Click to Submit