WISCONSIN TOWING ASSOCIATION
MEMBERSHIP APPLICATION

Member Services

*Company Name
*Contact Name
Title
*Mailing Address
Street Address
*City
*State
*Zip
*Phone
Fax
Watts
Email

*Required fields

Annual Dues Schedule: 

WI Towing Firms $195 for ONE unit*
$20 for EACH additional unit
Allied $210
Out of State $90
Friend $30

*"Units" are defined as wreckers, car carriers, and tractor/lowboy or tractor/flatbed combinations.

What type of company are you?

Towing Firm - How many units do you have?
Allied   (please specify type of business)
Out of State Towing Firm
Friend of Towing

  
Payment options: Check enclosed/being mailed Bill me Charge my credit card

If you are charging your dues on your credit card, please enter your information in the boxes below.

Credit card#: (Numbers only)

Exp date: (mm/yyyy)

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Wisconsin Towing Assn
P.O. Box 44849
Madison, WI  53744-4849
Fax: (608) 833-2875