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Be A Part of the Future - JOIN NOW!

First Name: Last Name:
Company: E-Mail:
Billing Address: Billing Address 2:
City: State:
Country: Postal Code:
Phone: Fax:

Membership Categories
Regular Member - $150
- a company actively engaged in windshield or flat glass repair and is not a supplier to the industry; Cost is $150 plus $25 additional location. Membership provides one vote and one listing on the consumer website.

Multilevel Member - $2,500
- a company actively engaged in the development of new windshield repair opportunities, including franchisors, manufacturers of repair systems or products, third party administrators and billing services. Cost is $2,500 plus $25 per franchisee or licensee, all get a vote. (If franchisee has more than one location, those additional locations are billed at $25 each) Each gets a vote and listings on the consumer website.
Additional Locations ($25.00 each) [ Enter Number of Additional Locations, Franchisee or Licensee]

Supplier Member - $500
- a company that supplies goods, products or services to companies in the windshield repair industry. Dues at $500, and the company gets one vote and one listing on the consumer website.

Associate Member - $2,500
- insurance companies, trade associations and others with interest in windshield or flat glass repair. Dues are $2,500. Associate members do not get to vote.

By checking this box and submitting this form, I am stating that I have read and understand the policies (see below) and agree to allow the organization and its affiliates to contact me in the future via phone, fax or e-mail.