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2008 Affiliate Registration Form

Company Information

Company*

Province / State

Contact Name*

Postal / Zip Code*

Address*

Suite / Apt

City*

Country

Toll Free Phone*

Email*:

Just a few of the reasons to join: Joining is easy as 1-2-3! Receive more vehicles and sell more parts! Let US bring the vehicles toYOU! Don't pay until network is launched! Designed and run by auto recyclers! The Power of the networked group! Marketing opportunities that will grow your business!! Become a leader in your industry! "TURN KEY" programs which will make your profit grow NOW!

YOU DECIDE - YOU CHOOSE YOUR TERRITORY AND DO WHAT WORKS FOR YOU! GET THE LATEST INFORMATION ON END OF LIFE LEGISLATION!

Your Province / State

Your Postal / Zip Code

Select your territory- You must enter the radius miles from your location. ie 25 or 50 miles

By completing this form:
.	I am applying for accreditation as an Authorized Treatment Facilities based on the guidelines as outlined by 1877EndOfLifeVehicles.com.
.	I agree to meet all outlined 1877EndOfLifeVehicles.com standards.
.	I agree to pay the 1877EndOfLifeVehicles.com membership and annual administrative fees.
Moreover, I agree to adhere to:
.	Be an active member of 1877EndOfLifeVehicles.com by following all membership requirements and procedures.
.	Purchase and promote all applicable 1877EndOfLifeVehicles.com advertising mediums.
.	If any training seminars/workshops were to arise that contributed to the betterment of 1877EndOfLifeVehicles.com in terms of procedures and codes of conduct, I will attend or send a representative in my place.
.	Take any opportunity to enhance the customer service, quality and reputation of 1877EndOfLifeVehicles.com, that will directly contribute to the betterment of my institute.
	I understand that the automotive industry is constantly changing and adapting to new technologies and procedures, as such, I also understand the requirements of my institute as an 1877EndOfLifeVehicles.com affiliate may also change.

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