SPONSOR-MEMBERSHIP ANNUAL APPLICATION FORM
PLEASE print clearly and legibly
Business Name: ____________________________________________________________
Name: Title (Owner, Manager,Tech): _______________
Street Address: _____________________________________________________________
City: _________________________________ State: _____________ Zip: -
Phone: - - ___________ Fax: - -____________________
Web Site URL: _____________________________________________________________
If no sponsor, leave blank and a CCRE representative will contact you.
- ____ Collision Shop Owner Sponsor * $ 365.00
- ____ PRI-IVE (Post Repair Inspectors, Independent Vehicle Examiners) $300.00
- ____ T-E (Technician or Employees of collision repair facilities $125.00
- ____ Affiliate Sponsor * Bronze $1,000.00, Silver $1,500.00, Gold $ 2,500.00 Platinum any amount over $2,500.00 Trade Associations, Auto Manufacturers, Equipment Manufacturers, trade publications, Investigative or legal professionals. Newsletter recognition included at option of Affiliate Sponsor.
- All membership prices are for annual dues, based on a full payment. Optional payment plans are available upon request. All applications and applicants are subject to Board approval.
- Mail payment and application to:
PO Box 11674
Bainbridge Island, Wa. 98110
Phone toll free 877-700-7743 Fax toll free 877-700-7747
Website: www.theccre.com or Email:firstname.lastname@example.org