Member Registration Form

New MemberRenewalVendor

Full Name*

First NameLast Name

Dealership Name/Company Name*

Physical Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Business Phone Number*

Mobile Phone Number*

E-mail*

example@example.com

Membership Level*

Annual Utah Membership $325Platinum Vendor Sponsorship $5000Gold Vendor Sponsorship $3000Silver Vendor Sponsorship $1500Bronze Vendor Sponsorship $1000

Additional Donation

Messaging Opt-In*

I agree to receive messages and updates via text to the provided mobile phone number. You may opt out at any time by replying "STOP". Message and data rates may apply.

Please verify that you are human*

By submitting this form you will receive a link within 24 hours to pay your dues via text message and email from the Independent Automobile Dealers Association of Utah.