Services & Solutions for Successful Equipment & Hardware Retailers!

 

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Hardware, Home Center, & Farm Store Membership Application

Please complete this form to join the SouthWestern Association. After the form has been completed and you click on the "send" button, this form will be transmitted to SouthWestern.                                                    

• Application for Membership:

  Company Name
  Address
  PO Box
  County
  City
  State
  Zip
  Phone
  FAX
  Web address

• Wholesale affiliate:

• Secondary supplier(s)

• Number of employees:

  # of Full Time Employees
  # of Part Time Employees

• Branch location(s).  For each branch, list address, city, county, state and store manager:
  

  Address	City	County	State	Store Manager

• Business Organization
  Choose one of the following options:

  	Corporation
  	Partnership
  	Proprietorship
  	Other

• :

  		Name	E-Mail Address
  Owner
  Owner
  Manager
  Office Manager
  Credit Manager
  Business Forms
  Education/Training/Safety
  Human Resources
  Insurance
  Dept. Managers:

• Contact Person (if not owner)

  Name

  Title

• Recommended by

  Name

• Membership Investment Schedule:

  	Hardware, Home Center, Farm Store	$225.00
  	Each additional branch	$100.00
  	Associate Member *	$450.00

  * If you aren't a retailer, but provide services for hardware or home center retailers, you qualify as an Associate member.  This rate includes membership rights and materials for up to five individuals; add $25 for each additional individual over 5.

• SouthWestern Association Member Services
  Please send me more information about the following industry-specific services available only to SouthWestern Association Members:

  Accounting Systems & Procedures	Management Incentive Programs
  Advertising Specialty Items	Marketing/Advertising
  ATS-GPS Theft Control on Equipment	Mergers/Acquisitions
  Bankcard Acceptance Program	On-site Programs
  Business Forms	Exit & Expansion Strategies
  Business Valuations & Operations Assessment	Financial Training and Education
  Computer & Technology Analysis & Integration	Aftermarket Development
  Convention/Annual Meeting	Leadership & Management Training
  Credit/Lein Manuals [State:	Customer Service Training
  Credit Reporting Services	Professional Selling Skills
  Dealer to Dealer Programs	Succession/Operational Cross Training
  Drug & Alcohol Testing Programs	Regulatory Compliance
  Employee & Management Benefit Program	Retirement/401(k), Profit Sharing
  Employee Policy & Procedure Manuals	Seminars
  Estate Planning	Web Site Development
  Group Health, Life & Business Insurance	Other
  Legal Services

• Insurance Coverage - SouthWestern Association offers significant savings to members on a number of insurance products.  Please complete the information below to help us serve you:
  Please list current Insurance provider and next renewal date:

Coverage	Current Provider	Next Renewal Date
Group Health (must have 2 or more eligible)
Worker's Compensation
General Liability
Property & Casualty
Dental
401(k) and Profit Sharing
Other:

• Computer Systems

  Hardware
  	Computer brand, make, model, i.e. Toshiba Tecra 8000
  Software
  	For example: MS Office 2000, Quick Books 2000, etc

• About Your Dues:
  Your annual investment includes membership in the National Retail Hardware Association and a subscription to SouthWestern Retailer, the SouthWestern Association’s official publication, at the rate of $12 per year.

  This is an annual dues statement and not a request for a contribution or gift.  Payment of your dues makes you a member of the SouthWestern Association and SWA Trade Association.   Your dues payment is allocated to these two organizations.

  Contributions or gifts to SouthWestern Association are not tax deductible as charitable contributions for income tax purposes.  However, they may be tax deductible as ordinary and necessary business expenses subject to restrictions imposed as a result of association lobbying activities.  SouthWestern Association estimates that the nondeductible portion of your dues allocable to lobbying is 8%.
   

• Enter the total amount below and then select the payment method.  If you are sending a check then print this form before you click on the "Send to SouthWestern" button below.  If you are paying by Charge Card then select that form of payment and then click on the "Send to SouthWestern" button - Charge Card information will be requested.  In either case, your registration information will be forwarded to the SouthWestern Association when you hit the "Send to SouthWestern" button.

  Total Amount
  Payment	Check will be mailed Charge Card Payment

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©1997-2008 SouthWestern Association,
638 West 39th Street, Kansas City, MO 64111.
(816) 561-5323, FAX: 816-561-1249
All Rights Reserved. Legal Notice
This page revised 01/14/08