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Enter Shop Business Profile


Enter information as completely as possible. Please click "NEXT STEP" button at the bottom of this form before leaving this page or closing your browser. Once complete you will be automatically advanced to the Financial Rewards Page (step 3).

General Information:
Have you filed bankruptcy in the last 5 years? Yes   No
Are you a convicted Felon? (Sorry for having to ask that one!) Yes   No
Credit Rating:
Production area sq. ft:
Office/customer area sq. ft:
Total Shop sq. ft:

Repair Information:
Make Dealer Name Approx. Avg.
Monthly Purchases
Current Discount Obligated
to Buy From?
BMW   (N/A)
Yes   No
Chrysler   (N/A)
Yes   No
GM   (N/A)
Yes   No
Ford   (N/A)
Yes   No
Honda   (N/A)
Yes   No
Mercedes   (N/A)
Yes   No
Nissan   (N/A)
Yes   No
Toyota   (N/A)
Yes   No

Business Information:
How Many Locations do you have?
Would you be considered an independently owned business? Yes   No
Annual gross sales:
# of Employees:
Years in Business:
Average repair order ($ Amount):
Primary paint manufacturer: (optional)
Primary rental car company:(optional)

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