CARS Classic Application "*" indicates required fields Read this application and shareholder agreement carefully before signing. Complete and check the Payment Option you elect. If the applicant is not accepted, the funds will be returned. Upon payment and acceptance, applicant will be issued One (1) Share of Class A stock, in accordance with the bylaws of the cooperative.Legal Name of Business*Marketing Name(If different than legal name)Business 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 Business Number*Cell Phone NumberShop EmailWebsite Address Federal Tax ID Number (EIN)*(Required if partnership or corporation)Contact office for EIN Contact office for EIN Number of Facilities under same EIN or SSN #*Number of Body Techs*Number of Paint Techs*Shop's Square FootageAnnual 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+ The following section allows us to gather purchase data from your supplier and process Rewards.Brand of Paint(s) UsedPaint Type Waterborne Solvent-Based Jobber/Supplier NameContact NamePhoneEmail Address Secondary Jobber/Supplier NameContact NamePhoneEmail Address 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. CARS will get corporate numbers from corporate contact.I-CAR Organization ID #AkzoNobel (U.Tech, Lesonal, Sikkens) Currently Using Interested In American Brand Tape Currently Using Interested In DeVILBISS Currently Using Interested In Farecla Currently Using Interested In Norton Currently Using Interested In REVvive Currently Using Interested In Please provide contact information below.Primary Contact Name* First Last Title*Email Address* Secondary Contact Name (if applicable) First Last TitleEmail Address Shareholder Agreement This agreement, the articles of incorporation and the bylaws, a copy of which I have received, constitute the entire contract and agreement between the shareholder and Collision Automotive Repair Services, Inc. and no offers, promises, representations, inducements, agreements or understandings of any kind shall be binding upon the cooperative. Upon acceptance of this application, in relation to Collision Automotive Repair Services, Inc. and under this agreement, I/we will be an independent contractor responsible for my/our own business and not an employee of CARS. I/we will be a shareholder of the cooperative and will not be treated as an employee in regard to any laws covering employees, including but not limited to the Federal Insurance Contributions Act, the Social Security Act, the Federal Unemployment Tax Act, income tax withholding at source, or any federal or state tax laws. I/we acknowledge that it is my/our responsibility to pay unemployment, franchise or sales tax and state and federal income taxes as required by law. A shareholder 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 shareholder and the cooperative. Shareholders 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 shareholders 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. Shareholders 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. Shareholders 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 shareholders of the cooperative must be accompanied by the words “shareholder of.” It is understood that upon notification to shareholders, Collision Automotive Repair Services, Inc. (CARS or Cooperative) may amend this shareholder agreement and the plans and policies of the cooperative and that the bylaws of CARS may be amended as provided therein. Stock Certificate issued upon payment and CARS Benefits begin on stock issue date.CARS Classic Purchase (One Time Purchase):*CARS Classic Fee Billing* Use Facility Address Enter a Different Billing Address Credit Card Cardholder Name Card Details Billing 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 Consent* I hereby apply to become a shareholder in Collision Automotive Repair Services, Inc. as a Class A shareholder. I hereby acknowledge that I have read and understand the shareholders agreement above. I hereby acknowledge that I have read the bylaws and articles of incorporation, and attest that I am of legal age in the state in which I enter into this agreement.Applicant’s Signature*Title if partnership or corporation*Date*