Service Providers

On-line Application

If you are interested in becoming a Road America Motor Club Service Provider, please begin by completing our on-line application.

Apply on-line by clicking here.

Once the on-line application has been completed, you will receive various e- mail communications advising you of the status and next required steps.

If instead, you prefer to print an Application Form which you can complete and send to us via mail, fax, or e-mail.

Download an Application Package by clicking here.

* To view application online in PDF format, you need Adobe Acrobat Reader® Software version 6.0 or higher. If you don't have Adobe Acrobat Reader® installed on your computer, you can download it now

We appreciate your interest in working with the Road America Service Provider Network.

Provider Network Department Team.