Page 24 - PIADA-FEB 2022-Final-web_Neat

2022 ADVANCED ISSUING MidAtlantic IADA
2022 ADVANCED ISSUING
AGENT TRAINING COURSES Membership Application
AGENT TRAINING COURSES
DO IT QUICK!
IN PERSON AT THE Call 717.238.9002 and Say “I Want to Join!”
IN PERSON AT THE
FOLLOWING LOCATIONS & we’ll take the info over the phone (M-F 8:30-4:30)
FOLLOWING LOCATIONS
Monday, March 14, 2022 Dealership _________________________________________________
Monday, March 14, 2022
AMERICA’S AA – HARRISBURG
AMERICA’S AA – HARRISBURG
1100 S. York St., Mechanicsburg, PA 17055 • Clint Weaver • 717.697.2222 Owner/President(s) __________________________________________
1100 S. York St., Mechanicsburg, PA 17055
Monday, April 25, 2022 DIN # _________________________________ or  Special Member
Monday, April 25, 2022
ADESA - PITTSBURGH AA  Corp.  Partnership  Sole Proprietorship  LLC
ADESA - PITTSBURGH AA
378 Hunker Waltz Mill Rd., New Stanton, PA 15672
378 Hunker Waltz Mill Rd., New Stanton, PA 15672
Carly Bishop• 724.925.4700 Number of Employees _______________________________________
Monday, May 16, 2022
Monday, May 16, 2022 Street Address ______________________________________________
NORTHEAST PENNSYLVANIA AA
NORTHEAST PENNSYLVANIA AA
Arcaro & Genell Restaurant, 443 South Main St., Old Forge, PA 18518
Arcaro & Genell Restaurant, 443 South Main St., Old Forge, PA 18518 City __________________________________ State_____ Zip _______
Lisa Cohowicz • 570.650.2781
Monday, June 13, 2022 County __________________ Dealership Anniversary (mm/yy)______
Monday, June 13, 2022 E-mail _____________________________________________________
MANHEIM PHILADELPHIA AA
MANHEIM PHILADELPHIA AA
2280 Bethlehem Pike, Hatfield, PA 19440
2280 Bethlehem Pike, Hatfield, PA 19440 Website ____________________________________________________
Monday, September 19, 2022 Ph. (____) ___________________ Fax (____) _____________________
Charles Polina 215.822.1935
GARDEN SPOT AA
Monday, September 19, 2022
Robert Rd. & Apple St., Ephrata, PA 17522 To assist our lobbying effort, your party affiliation is requested.
GARDEN SPOT AA
Robert Rd. & Apple St., Ephrata, PA 17522 • Kristi Kohl • 717.738.7900  Democrat  Republican  Independent  Decline to answer
PIADA Members: $99 • Non-Members: $129
PIADA Members: $99 • Non-Members: $129 PIADA yearly dues are $399.00 and MDIADA & DIADA are $299.00
Contact PIADA chapter today:
(which include $60 NIADA dues). You will receive all NIADA benefits
Contact PIADA chapter today:
Email Cynthia@piada.org or call 717.238.9002. including a discount prescription drug card, Used Car Dealer maga-
Email Cynthia@piada.org or call 717.238.9002. zine, and dealer advocacy to officials in Washington, D.C.
COURSE REGISTRATION
COURSE REGISTRATION (Contributions or gifts to PIADA PAC are not deductible as charitable
donations for Federal tax purposes; however, the $399 dues payments
Company ____________________________________________________ are deductible by members as an ordinary and necessary business
Company ____________________________________________________
expense.)
Contact _____________________________________________________
Contact _____________________________________________________
By my signature below, I affirm that: I support the PIADA Code
PIADA Member?  Yes  No DIN # _____________________________ of Ethics and want to strengthen the business and public image
PIADA Member?  Yes  No DIN # _____________________________
E-mail Address _______________________________________________
E-mail Address _______________________________________________ of the Independent Automobile Dealer; I request membership in
the MARIADA, 1501 North Front Street, Harrisburg, PA 17102,
Business Address ______________________________________________ 717.238.9002, Fax (717) 238-3870, www.piada.org, and I authorize
Business Address ______________________________________________
City ______________________________ State_______Zip Code________ PIADA to fax or e-mail important information to me.
City ______________________________ State_______Zip Code________
Phone (____) ___________________Fax (____) _____________________ Signature __________________________________________________
Phone (____) ___________________Fax (____) _____________________
My check(s) in the amount of:
Number Attending ______  PA Dealer $399.00 (Membership Fees are
Number Attending ______
NAMES OF ATTENDEES:  MD/DE Dealer $299.00 non-refundable.)
NAMES OF ATTENDEES:
 Plus a voluntary PAC fund contribution to PIADA PAC of $25 or
___________________________________________________________ more. (Must be individual check, not a corporate check. Corporate
___________________________________________________________
___________________________________________________________ checks for PAC fund contributions are not permitted by PA law.)
___________________________________________________________
 Plus a $20 donation to the MidAtlantic Regional IADA Scholarship
___________________________________________________________ Fund.
___________________________________________________________
Card Type:  VISA  MasterCard  Discover  American Express Or please charge this amount to my credit card:
Card Type:  VISA  MasterCard  Discover  American Express

Name on Card:_________________________________________________ Card type:  Visa  MasterCard  American Express  Discover
Name on Card:_________________________________________________
Card # ________________________ Security Code ______ Exp. Date_____ Name on Card ______________________________________________
Card # ________________________ Security Code ______ Exp. Date_____
Signature _____________________________________________________ Card Number ______________________________________________
Signature _____________________________________________________
Fax (We’d prefer fax) to 717.238.3870 Security Code ___________ Expiration Date ____________________
Fax (We’d prefer fax) to 717.238.3870
Or Mail to: PIADA, 1501 North Front Street, Harrisburg, PA 17102
Or Mail to: PIADA, 1501 North Front Street, Harrisburg, PA 17102
Signature __________________________________________________
SPECIAL THANKS TO OUR ANNUAL SPONSORS: Printed Name _______________________________________________
SPECIAL THANKS TO OUR ANNUAL SPONSORS:
Date ______________________________________________________
Received by MARIADA Rep. _____________________________
Date ________________________________________________
OR Mail to: MARIADA, 1501 North Front St., Harrisburg, PA
17102. If using a credit card, you may fax this application to
PIADA at 717.238.3870.
22 | MIDATLANTIC DEALER NEWS | MIDATLANTICAUTODEALERSUNITED.ORG • FEBRUARY 2022
20 | JANUARY 2022 MIDATLANTIC DEALER NEWS