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MIDATLANTIC IADA
2022 ADVANCED ISSUING MidAtlantic IADA
2022 ADVANCED ISSUING
AGENT TRAINING COURSES Membership Application
AGENT TRAINING COURSES
2022 ADVANCED ISSUING
DO IT QUICK!
IN PERSON AT THE
IN PERSON AT THE
AGENT TRAINING COURSES Call 717.238.9002 and Say “I Want to Join!”
FOLLOWING LOCATIONS & we’ll take the info over the phone (M-F 8:30-4:30)
FOLLOWING LOCATIONS
IN PERSON AT THE
Monday, March 14, 2022
Monday, March 14, 2022
FOLLOWING LOCATIONS Dealership _________________________________________________
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, March 14, 2022
Monday, April 25, 2022
Monday, April 25, 2022 DIN # _________________________________ or Special Member
AMERICA’S AA – HARRISBURG
ADESA - PITTSBURGH AA
ADESA - PITTSBURGH AA
1100 S. York St., Mechanicsburg, PA 17055
378 Hunker Waltz Mill Rd., New Stanton, PA 15672 Corp. Partnership Sole Proprietorship LLC
378 Hunker Waltz Mill Rd., New Stanton, PA 15672 Number of Employees _______________________________________
Carly Bishop• 724.925.4700
Monday, April 25, 2022
Monday, May 16, 2022
Monday, May 16, 2022 Street Address ______________________________________________
ADESA - PITTSBURGH AA
NORTHEAST PENNSYLVANIA AA
NORTHEAST PENNSYLVANIA AA
378 Hunker Waltz Mill Rd., New Stanton, PA 15672
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 _______
Monday, May 16, 2022 County __________________ Dealership Anniversary (mm/yy)______
Lisa Cohowicz • 570.650.2781
Monday, June 13, 2022
NORTHEAST PENNSYLVANIA AA
Monday, June 13, 2022
MANHEIM PHILADELPHIA AA
Arcaro & Genell Restaurant, 443 South Main St., Old Forge, PA 18518 E-mail _____________________________________________________
MANHEIM PHILADELPHIA AA
2280 Bethlehem Pike, Hatfield, PA 19440
2280 Bethlehem Pike, Hatfield, PA 19440 Website ____________________________________________________
Monday, June 13, 2022
Monday, September 19, 2022
Charles Polina 215.822.1935
MANHEIM PHILADELPHIA AA Ph. (____) ___________________ Fax (____) _____________________
GARDEN SPOT AA
Monday, September 19, 2022
2280 Bethlehem Pike, Hatfield, PA 19440 To assist our lobbying effort, your party affiliation is requested.
Robert Rd. & Apple St., Ephrata, PA 17522
GARDEN SPOT AA
Robert Rd. & Apple St., Ephrata, PA 17522 • Kristi Kohl • 717.738.7900 Democrat Republican Independent Decline to answer
Monday, September 19, 2022
PIADA Members: $99 • Non-Members: $129
GARDEN SPOT AA
PIADA Members: $99 • Non-Members: $129 PIADA yearly dues are $399.00 and MDIADA & DIADA are $299.00
(which include $60 NIADA dues). You will receive all NIADA benefits
Contact PIADA chapter today:
Robert Rd. & Apple St., Ephrata, PA 17522
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.
PIADA Members: $99 • Non-Members: $129 (Contributions or gifts to PIADA PAC are not deductible as charitable
COURSE REGISTRATION
COURSE REGISTRATION
Contact PIADA chapter today: donations for Federal tax purposes; however, the $399 dues payments
Email Cynthia@piada.org or call 717.238.9002. are deductible by members as an ordinary and necessary business
Company ____________________________________________________
Company ____________________________________________________
Contact _____________________________________________________
Contact _____________________________________________________ expense.)
COURSE REGISTRATION By my signature below, I affirm that: I support the PIADA Code
PIADA Member? Yes No DIN # _____________________________
PIADA Member? Yes No DIN # _____________________________ of Ethics and want to strengthen the business and public image
Company ____________________________________________________ of the Independent Automobile Dealer; I request membership in
E-mail Address _______________________________________________
E-mail Address _______________________________________________
the MARIADA, 1501 North Front Street, Harrisburg, PA 17102,
Contact _____________________________________________________ 717.238.9002, Fax (717) 238-3870, www.piada.org, and I authorize
Business Address ______________________________________________
Business Address ______________________________________________
PIADA Member? Yes No DIN # _____________________________ PIADA to fax or e-mail important information to me.
City ______________________________ State_______Zip Code________
City ______________________________ State_______Zip Code________
Phone (____) ___________________Fax (____) _____________________
Phone (____) ___________________Fax (____) _____________________
E-mail Address _______________________________________________ Signature __________________________________________________
My check(s) in the amount of:
Number Attending ______
Number Attending ______
Business Address ______________________________________________ PA Dealer $399.00 (Membership Fees are
City ______________________________ State_______Zip Code________ MD/DE Dealer $299.00 non-refundable.)
NAMES OF ATTENDEES:
NAMES OF ATTENDEES:
Phone (____) ___________________Fax (____) _____________________ Plus a voluntary PAC fund contribution to PIADA PAC of $25 or
___________________________________________________________
more. (Must be individual check, not a corporate check. Corporate
___________________________________________________________
Number Attending ______ checks for PAC fund contributions are not permitted by PA law.)
___________________________________________________________
___________________________________________________________
Plus a $20 donation to the MidAtlantic Regional IADA Scholarship
___________________________________________________________
___________________________________________________________
NAMES OF ATTENDEES: 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 _____________________________________________________
Card Type: VISA MasterCard Discover American Express Security Code ___________ Expiration Date ____________________
Fax (We’d prefer fax) to 717.238.3870
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
Name on Card:_________________________________________________ Signature __________________________________________________
Card # ________________________ Security Code ______ Exp. Date_____
SPECIAL THANKS TO OUR ANNUAL SPONSORS: Printed Name _______________________________________________
SPECIAL THANKS TO OUR ANNUAL SPONSORS:
Signature _____________________________________________________ Date ______________________________________________________
Fax (We’d prefer fax) to 717.238.3870 Received by MARIADA Rep. _____________________________
Or Mail to: PIADA, 1501 North Front Street, Harrisburg, PA 17102
Date ________________________________________________
SPECIAL THANKS TO OUR ANNUAL SPONSORS: 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 • APRIL 2022
20 | JANUARY 2022 MIDATLANTIC DEALER NEWS
