Application for Associate Membership Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Company Name *Contact Person *Date Business StartedBusiness Address *City, State, Postal Code *Federal ID NumberPhone *FaxEmail *WebsiteType of businessSole ProprietorshipPartnershipCorporationNumber of employeesProducts and/or services offered to wholesalersOther trade associations you are affiliated withService (select all that apply)BP – Business PressCP – Computer ServicesSC – Core SupplierED – Engine/Engine Component DistributorM – ImporterMP – Manual PublisherRM – RemanufacturerSS – Shop SuppliesVT – Vocational TrainingWD – Warehouse DistributorOtherManufacturer (select all that apply)CM – Chemical Adhesive ManufacturerEM – Equipment Manufacturer/SupplierMR – Manufacturer Rep or AgentPM – Parts Mfr or Supplier/DistributorHow did you hear about AERA? *Another memberEngine Professional magazineConferenceSocial mediaProsis Pro demoOtherMembership dues *Manufacturer Rep, Agent or Business Press: $460$0-$1 million in automotive sales: $690$1-$3 million in automotive sales: $790Over $3 million in automotive sales: $890Payment Type *I will pay online.I will mail a check.I would like a monthly payment plan.Submit
