COALITION for COLLISION REPAIR EXCELLENCE

SPONSOR-MEMBERSHIP YEARLY APPLICATION FORM

PLEASE print clearly and legibly
 

Business Name: ____________________________________________________________

Name:                                                          Title (Owner, Manager,Tech): _______________

Street Address: _____________________________________________________________

City: _________________________________ State: _____________ Zip:                  -          

Phone:            -          -                 ___________ Fax:            -           -____________________

Web Site URL: ______________________________ E-Mail: __________________________

• ____  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 yearly dues, based on a full payment, optional payment plans are available upon request. All applications-applicants are subject to Board approval.

• Mail payment and application to:

theCCRE 
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: ccreoffice@aol.com