Affiliate Membership Application

Affiliate Membership Application

Emergency Road Service Coalition of America
Affiliate Membership is $300 annually.

Membership becomes effective on the date your application and payment are received and approved by ERSCA. Annual renewals are billed on your membership anniversary date.
SAFETY THROUGH TRAINING & HIGHER STANDARDS
ERSCA Affiliate Membership is designed for towing and recovery companies located outside the State of California that want access to ERSCA training, resources, and member benefit programs.

Affiliate Members receive discounts on ERSCA Essentials training and access to eligible benefits, savings, and resources offered through ERSCA National Partners and Training Supporters. Affiliate Members are non-voting members of the association.

All Affiliate Memberships are subject to initial ERSCA Board approval and continued compliance with ERSCA bylaws and policies.

Affiliate Membership is renewed annually, with the membership year beginning on the date ERSCA receives and approves the completed application and payment.

Train Better. Operate Safer. Set Higher Standards.
Affiliate Membership Terms & Conditions
By becoming an ERSCA Affiliate Member, you agree to comply with the Bylaws and policies of the Emergency Road Service Coalition of America (ERSCA).

All Affiliate Membership applications are subject to approval by the ERSCA Board of Directors. Until Board approval is granted, an applicant will be considered a Provisional Affiliate Member. If an application is not approved, ERSCA will refund the applicable prorated portion of the membership fee.

Affiliate Membership may be terminated by the ERSCA Board of Directors for violations of ERSCA Bylaws or policies, including conduct the Board determines to be materially and seriously prejudicial to the purposes or interests of the Association. Membership terminated for such cause is not eligible for a refund of membership fees.

Affiliate Membership is annual and becomes effective on the date ERSCA receives and approves the completed application and payment. Renewals are billed annually based on the member’s anniversary date.

Tax Notice: Contributions or dues paid to the Emergency Road Service Coalition of America are not tax deductible as charitable contributions. Membership dues and related expenses may, depending on your circumstances, qualify as ordinary and necessary business expenses. Please consult your tax or accounting professional regarding the deductibility of membership expenses.

Your Contact Information
Please let us know how you would and would not like to be contacted. Unless otherwise noted on this application form, your contact information is shared with other ERSCA Industry Partners and Supporters through our electronic directory. Contact the ERSCA office at (916) 617-2882 or staff@ersca.org if there is any information you do not wish to share.

By joining the Emergency Road Service Coalition you automatically “opt-in” to our electronic communications such as the e-Newsletter, Training Updates, News Bulletins, and various other notifications. At any time you may opt-out through the “unsubscribe” link at the bottom of these e-mails.

Communications & Third Party Links
At our discretion, we may occasionally include or offer third party products or services on our website and in our communications. These third party sites have separate and independent privacy policies. Therefore, we have no responsibility or liability for the content and activities of these linked sites. Nonetheless, we seek to protect the integrity of our site and welcome any feedback about these sites.

Non-California Tow Company Application
Company Name
Legal Business Name
Mailing Address

Street Address

Street Address Line 2

CityState

Zip Code
Physical Address (if different)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Business Phone
Format: (000) 000-0000.
Business Fax
Please enter a valid phone number.Format: (000) 000-0000.
Business Website
Primary Contact
Primary Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Primary Contact Email
example@example.com
Total Fleet Size (number)*
Fleet Information
USDOT #

By signing below, you acknowledge that you have read and understand the above policies & information. Further, you acknowledge that Affiliate Members, per Bylaw section 4.3, do not have voting rights and all Affiliate Memberships are ultimately contingent upon initial Board approval and are subject to ongoing compliance with the ERSCA bylaws and policies.
Signature
Date

MonthDayYear
Date

My Products

ERSCA Affiliate Membership

$300.00

Total

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Emergency Road Service Coalition of America

643 West Stadium Lane

Sacramento, CA 95834

916-617-2882 www.ersca.org
Should be Empty:

Affiliate Membership Application

Non-California Tow Company Application

My Products*

My Products