Membership Form | Indiana Towing & Wrecker Association, Inc.

Prefer to send a check? Make checks payable to ITWA. Download the application here and return to:
135 North Pennsylvania St Suite 1175
Indianapolis, IN 46204

Date*

Referred by:

Membership Type*

Regular Member - $365
Associate Member - $365
500 Club - $500
Supporting Member - $100

The $500 Club is a voluntary contribution of $135 on top of your regular dues membership of $365. It helps cover the cost of keeping Indiana up to date on all things legislative that pertain to our industry, most recently fighting the NCOIL legislation. The benefits you receive from improved legislation, more than cover the addition dues contributed. Please consider supporting ITWA by increasing your annual dues payment to $500.

Supporting Membership is open to any driver, dispatcher and/or support persons in the towing/recovery/storage industry who are employed by a company that is not a member of ITWA but employee wishes to become a member of ITWA. Must not be an owner of a towing company. Member benefits only apply to the individual supporting member. Subject to verification.

Company Name*

Company Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Fax

Email*

Name of Owner*

First Last

Years in business*

# of employees*

# of wreckers*

Other associations your company belongs to*

If you checked Associate Member, what products do you sell?

Add additional employees?*

$50 for each additional employee

Employee name*

First Last

Email*

Employee name*

First Last

Email*

Employee name*

First Last

Email*

The undersigned is requesting acceptance into the membership of the Indiana Towing & Wrecker Association and promises to abide by the By-Laws of the Association. Unless otherwise noted the member’s information will be listed on the ITWA website and in the membership directory. The following signature also gives ITWA permission to charge your credit card for dues.

Signature

Title

Date

Total

$0.00

Indiana Towing & Wrecker Association

Application for Membership