Automotive Aftermarket Suppliers Association

Automotive Aftermarke Suppliers Association

AASA Affiliate/Associate Application (*Required Field)

Company Information
Company:
Street Address:
PO Box:
City:	State/Province: Zip:
Country:
Fax:	Corporate Phone:
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:

Middle Name:

Last Name:

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

AASA Eligibility/Dues:
AASA recognizes the importance of industry service partners. Please select the appropriate membership category and dues payment. Membership guidelines for each Non-Suppler category are outlined below.

Affiliate Membership
Any recognized company that engages in the automotive aftermarket and/or provides products and services to automotive aftermarket industry with more than five employees may be admitted as an affiliate member under such conditions and with such rights and privileges as the Board of Governors determines but shall not have voting privileges.

*Annual Affiliate Membership (Includes AAPEX exhibit discount)

$3,000

Associate Membership
Any recognized company that who provides services and/or consulting to the automotive aftermarket industry in the following capacity (Select one):
• small company/consultant practice with five or fewer employees
• Publishing/media company
• Industry Affiliate Group
• Educational Institution
If your company meets any of the above classifications, then admission as an Associate member may be granted under such conditions and with such rights as the Board of Governors determines but shall not have voting privileges.

*Annual Associate Membership (Not eligible for AAPEX exhibit discount)	$600
*Annual Associate Membership (Includes AAPEX exhibit discount)	$775

*AASA reserves the right to request additional company information for verification of member company category prior to acceptance of membership application.

Other Market Segment Interest

Heavy Duty Manufacturers Association (HDMA)

Original Equipment Suppliers Association (OESA)

Types of services (check all that apply):

Consulting/Advisory
Products and/or Manufacturing
Outsourcing
Academic
Publisher/Media
Industry Group
Other Services

Area of expertise (Check all that apply):
Accounting/Finance	IT (Software, Hardware, E-commerce, Security, Networking)
Advertising/Marketing/Public Relations	Legal
Business Strategies (Operations, Management)	Logistics/Transportation/Warehousing
Education/Training/Learning Services	Market Research
General Business Services (Printing, Supplies, etc.)	Telecommunications
Healthcare	Testing/Quality Control
Import/Export Services	Tooling/RD/Engineering
IPR/Brand Protection	Other

Please provide a description of your organization and services (limit 255 characters):

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. If approved for membership, the term of our membership is the remainder of the current calendar year, automatically renewable at prevailing membership dues and cancelable only with at least 30 days written notice. 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.

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

Signature: Check to Accept:

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