Call CIADA
(704) 455-2117
Home
North Carolina
South Carolina
About CIADA
Membership
Preferred Providers
CIADA Calendar
Dealer Insurance
Contact CIADA
Forms
Dealer Digest
BECOMING A DEALER?
Resources
Education
Join CIADA
Dealer License Minimum Requirements
NC ELT Access
AutoDataDirect, Inc.
North Carolina DMV
View Website
NHTSA Recalls
National Highway Traffic Safety Administration
NIADA Certified
Continuing Education
In Classroom
CETV Online
CETV DVD
Education Calendar
BECOMING A DEALER?
Resources
Education
Join CIADA
Dealer License Minimum Requirement
Order Temp Tag Paper
South Carolina DMV
View Website
SC ELT Access
AutoDataDirect, Inc.
Dealer Connection
NHTSA Recalls
National Highway Traffic Safety Administration
NIADA Certified
Education Calendar
Title Class Schedule
What is the CIADA?
Executive Committee
Our Staff
Member Resources
Dealer Benefits
Vendor Benefits
Sponsorship Opportunities
Join CIADA
Auctions Savings Program
News & Alerts
Scholarship Program
Certified Master Dealers
Vendor Spotlight
Carolinas Independent Automobile Dealers Association
Serving the Carolinas Independent Dealers Since 1955
Become a Member
Member Login
CIADA Associate Vendor Application
Associate Vendor Membership
CIADA
*
Associate Vendor
Associate Vendor (2 yr)
NIADA
*
Membership (included)
Total Amount
On Behalf Of Associate Organization
Company Information
Company Name
*
Mailing Address
*
City
*
State/Province
*
- select -
Alabama
Alaska
American Samoa
Arizona
Arkansas
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
United States Minor Outlying Islands
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
*
Physical Lot Address
*
City
*
State/Province
*
- select -
Alabama
Alaska
American Samoa
Arizona
Arkansas
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
United States Minor Outlying Islands
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
*
Company Phone
*
Company Fax
Company Email
*
Website
Include http:// or https://
Please enter a Username to create an account. If you already have an account
please login
before completing this form.
Username
*
Check Username Availability
Punctuation is not allowed in a Username with the exception of periods, hyphens and underscores.
Password
Confirm Password
Provide a password for the new account in both fields.
Dealer License Holder Information
First Name
*
Middle Name
Last Name
*
Suffix
Jr.
Sr.
II
III
IV
V
VI
VII
Mobile Phone
Email Address
*
Additional Customer Information
Please Enter Comments Below
Credit Card
Card Type
- select -
Visa
MasterCard
Amex
Discover
Card Number
*
Security Code
*
Expiration Date
*
-month-
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
-year-
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
Billing Name and Address
Billing First Name
*
Billing Middle Name
Billing Last Name
*
Street Address
*
City
*
Country
*
- select -
United States
State/Province
*
- none -
Alabama
Alaska
American Samoa
Arizona
Arkansas
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
United States Minor Outlying Islands
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Postal Code
*
© 1955 - 2021 Carolinas Independent Auto Dealers Association
Powered by
Sygnifi Networks
. All rights reserved.