MEMBERSHIP UPDATE FORM

This form is for use by Wisconsin Towing Association members. Please fill in your changes. Fields with a * next to them are required. Thanks for keeping us informed!


*DATE: *MEMBER COMPANY NAME:

CONTACT NAME: ADDRESS (Street, City, State, Zip):

PHONE NUMBER(with area code): FAX NUMBER: MOBILE NUMBER:

EMAIL: WEBSITE:

If you would like other people in the company to receive newsletters and other mailings, please add their name in the box below:

Year business started: # Employees: # Units:

SERVICES OFFERED (Towing members) :

Light Duty Towing
Medium Duty Towing
Heavy Duty Towing
Car Carrier
Crane
Air Cushion Recovery
Storage Facility
Fuel
Automotive Repairs
Truck Repairs
Road Service
Tire Service

SERVICES OFFERED (Allied members):

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