Legal Name of Motor Vehicle Repair Facility* Business Number*Facility Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Cell Phone Number*Fax NumberFederal Tax ID Number (EIN) (Required if partnership or corporation)Contact office for EIN Contact office for EIN Please Provide What Type of Business You Are* What association are you a member of?*Choose AssociationAASP-ILAASP-MNAASP-NJCAACCAFABAGSCAIABA-Indianahead/WIKABALIABRAMABANABAOKABATCRAWCRPWMABAPrimary Contact Name* Title* Email Address* Cell PhoneSecondary Contact Name (If applicable)Title Email Address Cell PhoneThe following is not required for Vendors and Suppliers/Jobbers.Brand of Paint(s) Used Paint Type Waterborne Solvent-Based Estimating System Used Mitchell CCC ADP Manual Jobber/Supplier Name Contact Name PhoneEmail Address Secondary Jobber/Supplier Name Contact Name PhoneEmail Address Shop's Square FootageNumber of Body TechsNumber of Paint TechsAnnual Sales 500,000 - 1M 1M - 1.5M 1.5M - 2M 2.5M - 3М 3.5M - 4M 4.5M - 5M 5.5M - 6M 6.5M - 7M 7.5M - 8M 8.5M - 9M 9M - 10M 10M+ We want to ensure you are getting everything you qualify for with your CARS Membership. Please mark what products or services you are currently using or interested in using.AAT-Advance Auto Technology Currently Using Interested In Adhesive Templates Currently Using Interested In American Brand Tape Currently Using Interested In asTech Currently Using Interested In Axalta (Spies Hecker, Standox, Cromax) Currently Using Interested In Carborundum Currently Using Interested In CTI-Collision Training Institute Currently Using Interested In Computer Logic Currently Using Interested In DeVILBISS Currently Using Interested In E-Volve Currently Using Interested In Farecla Currently Using Interested In Find Pigtails Currently Using Interested In Hendrick Chevrolet Currently Using Interested In Hertz Currently Using Interested In I-CAR Currently Using Interested In Kent Automotive Currently Using Interested In Lift King Currently Using Interested In Lord Fusor Currently Using Interested In Norton Currently Using Interested In OPUS-IVS Currently Using Interested In Performance Radiator Currently Using Interested In Principled Payments Currently Using Interested In Production Board Currently Using Interested In REVvive Currently Using Interested In Shawnee Mission Ford Currently Using Interested In S2F (Web Development) Currently Using Interested In SUN Currently Using Interested In UniFirst Currently Using Interested In VSSTA Currently Using Interested In Wheel Restore Currently Using Interested In CARS Connection PLUS Benefit Member Agreement This agreement and my/our CARS Connection PLUS Benefit Membership is contingent upon my/our membership in “Good Standing” in the association. A membership in Collision Automotive Repair Services, Inc. does not constitute a sale of a franchise or a distribution. This agreement is not intended and shall not be interpreted to create a relationship of agency, partnership or joint venture between any member and the cooperative. Members of Collision Automotive Repair Services, Inc. shall abide by any federal, state, county, and local laws or ordinances pertaining to this agreement and/or the sale, acquisitions, holding, distributing, servicing, or advertising of the products or services of CARS and at the members own expense, they shall acquire any and all licenses or permits and file such reports as are required by law or lawful public authority with respect to this agreement. Members are prohibited from making any representation or claim, verbal or written regarding Collision Automotive Repair Services, Inc. or any of its products, services, or programs, other than those contained in material produced or approved by the cooperative. Members of CARS may not use the name, logo or trademark of Collision Automotive Repair Services, Inc. without written approval. Any use of the name, Collision Automotive Repair Services, Inc., or CARS in any promotional material by members of the cooperative must be accompanied by the words “member of.” It is understood that upon notification to members, Collision Automotive Repair Services, Inc. (CARS or Cooperative) may amend this member agreement and the plans and policies of the cooperative and that the bylaws of CARS may be amended as provided therein. Signature*Email Address* Title if partnership or corporation* Date* Untitled First Choice Second Choice Third Choice