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Membership Application PDF Print E-mail

Please complete this form to join the Midwest Equipment Dealers Association.  After the form has been submitted, Midwest Equipment Dealers Association will prepare a dues invoice and mail it to you for payment.

  • Please provide the following  information :
  • First name
    Last name
    Title
    Company
    Street Address Street Zip
    Mailing Address Mailing Zip
    City
    State
    County
      Phone
    FAX
      E-mail
    • Membership Category and Investment Schedule (please choose one category - If you have a main location and branch locations please complete one form for each location or each additional Associate Membership) :

    Wisconsin Agricultural Equipment Member - Main Store $475.00
    Wisconsin Agricultural Equipment Member - Branch Store $250.00

    Illinois Agricultural Equipment Member - Main Store $500.00 *
    Illinois Agricultural Equipment Member - Branch Store $265.00 **

    Wisconsin Commercial/Light Industrial Member - Main Store $475.00
    Wisconsin Commercial/Light Industrial Member - Branch Store $250.00

    Illinois Commercial/Light Industrial Member - Main Store $500.00 **
    Illinois Commercial/Light Industrial Member - Branch Store $265.00 **

    Wisconsin Construction Equipment Member - Main Store $475.00
    Wisconsin Construction Equipment Member - Branch Store $250.00

    Illinois Construction Equipment Dealers Member - Main Store $500.00 **
    Illinois Construction Equipment Member - Branch Store $265.00 **

    Associate Member $350.00
    Associate Member - Each Additional $75.00

    Wisconsin Dairy or Farmstead Membership $275.00
    Wisconsin Outdoor Power Equipment Membership  $275.00

    Illinois Dairy or Farmstead Mech Membership $290.00 **
    Illinois Outdoor Power Equipment Membership  $290.00 **
     

    * Includes $25 IFEPAC donation
    ** Includes $15 IFEPAC donation

    • If this is a Branch Store please enter the phone number of the main location:

      Main Location Phone Number
    • Lines Carried

    • Additional Information
    Number of Employees
    Annual Sales Volume
     

    % of Business (sales)

    Farm Equipment
    Outdoor Power
    Industrial/Construction
    Dairy
    Farmstead Mechanization
    Enter Code: