Membership Application  
Corporate Name:
Trade Name/DBA
Date of Incorporation / /
State of Incorporation

Franchisor
Home Office Address
,

Telephone - -
Fax - -
Email Address
Principles  
Name
Title
Name
Title
Name
Title
Buying Representatives
Does your company belong to any rental trade associtations, groups, or other industry-related organizations?
Number of Rental Stores
Number of Retail Stores