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REGISTRATION FORM
2010 MADA Dealer Education Classes
• If you take the MADA Dealers Education Class you can become an MADA member for only $191.00 in the first 30 days after the class date. After the 30 days expires the price of membership jumps to $440.00 per year.

• Our class qualifies you to get your Missouri Auto Dealer License and prepares you to operate with Revenue guidelines

• MADA has over 100 combined years of experience in the title business and licensed by the State of Missouri to conduct class.

• Small classes insure individual attention.

• Each person who attends our class receives the Missouri Auto Dealers Operating Manual and we also provide on going support by phone as needed.

There is a Q&A session after the class ends for anyone with questions about the new and used car business.

• MADA Sells ALL FORMS!

• Since MADA is located in Jefferson City, it is very convenient to go directly to Department of Revenue for your license and background check with the Missouri State Highway Patrol.

• MADA also offers Bonding

Please use this form to register for the 2010 MADA Dealer Education Classes. Please register ALL attendees.
*When filling out this form please include your name & the dealership you are with


Attendee's Name & DealershipDate & Location
*
*
*
*
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* Pre-registration required*
MUST BRING VALID PICTURE I.D. WITH YOU
$249 registration fee for the first person &
$125 for each additional person
Name & Dealership:
Address:
City:
State:
 Zip:
Phone Number:
Email Address:

Registration: $249 for the first meeting attendee & $125 for each additional meeting attendee.
Billing Name:
Person or Company Name on card
Billing Address:
Billing Zip:
Credit Card Type:
*no personal checks accepted
Account #:
CVV #:
(Visa/MC 3 digits, Amer Exp 4 digits)
Expiration Date:
 /