New England Car Wash
MEMBERSHIP APPLICATION Term: through Dec. 31st
Please fill out completely. Mail OR fax this form to 781/245-6487 with
credit card information or mail with a check for $275 payable to NECA.
CAR WASH OR COMPANY NAME REFERRED BY
FULL NAME OF MEMBER OF RECORD NICKNAME
JOB TITLE PARENT COMPANY
PRINCIPAL/OWNER (IF DIFFERENT THAN MEMBER OF RECORD)
PHONE ( ) FAX ( ) CELL ( )
E-MAIL WEB SITE
ADDRESS CITY STATE ZIP -
SHIPPING ADDRESS (IF DIFFERENT)
CITY: ________________________________________ STATE: ___________ ZIP -
MEMBERSHIP TYPE: Please check the category that describes the business listed above.
CAR CARE/OPERATOR: FULL SERVICE EXTERIOR IN-BAY AUTOmatic SELF- SERVE BAYS DETAILING
CHECK ADDITIONAL SERVICES THAT YOU PROVIDE: GASOLINE Q-LUBE C-STORE EQUIPMENT SALES/SERVICE PROPANE
DOG WASH OTHER:
TOTAL # OF LOCATIONS? IN WHICH TOWNS ARE YOUR FACILITIES LOCATED?
industry partner/SUPPLIER OTHER TYPE OF MEMBER BRIEFLY DESCRIBE YOUR PRODUCT OR SERVICE FOR WEB SITE POSTING.
We encourage you to get more involved in NECA activities and initiatives. Please check your interests:
TABLE TOP SHOW GOLF OUTING NORTHEAST CARWASHER MEMBERSHIP EDUCATION SCHOLARSHIP
DINNER MEETINGS MEMBER SERVICES LEGISLATIVE/REGULATORY NECA E-NEWS MENTORING NRCC
BEST PRACTICES GREEN INITIATIVES WEB SITE, FACEBOOK wash for a cause OTHER
yOUR MEMBERSHIP COVERS YOUR ENTIRE COMPANY AND ITS EMPLOYEES. please fill out the following for complimentary COMMUNICATIONS (MAIL AND E-MAIL) for additional key staff members from your company.
NAME TITLE
LOCATION NAME ADDRESS
CITY STATE ZIP -
PHONE ( ) FAX ( ) CELL ( )
E-MAIL
NAME TITLE
LOCATION NAME ADDRESS
CITY STATE ZIP -
PHONE ( ) FAX ( ) CELL ( )
E-MAIL
CHECK ONE
MC VISA AMEX DISCOVER # EXPIRATION /
NAME AS PRINTED ON CARD TOTAL CHARGE $ security code ____________
BILLING ADDRESS CITY STATE ZIP
(IF DIFFERENT THAN ABOVE)
Membership dues are not deductible as charitable contributions. Dues may be deductible as ordinary and necessary business expenses.
NECA ( 591 North Avenue, Ste. 3-2 ( Wakefield, MA 01880-1617
781/245-7400 ( F781/245-6487 ( info@ (
UPDATED 4/4/2013
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related searches
- commercial car wash supplies wholesale
- used mobile car wash equipment for sale
- mobile car wash equipment list
- used car wash equipment auctions
- used car wash vacuum equipment
- used car wash equipment craigslist
- portable car wash equipment
- used car wash vacuum systems
- portable car wash systems
- mobile car wash business equipment
- mobile car wash supplies
- mobile car wash equipment prices