DO NOT
USE THIS                   
COLUMN

_____     Name of Business_______________________________________

_____     Address________________________________________________

_____     Major cross streets____________________________________

_____     City ___________________ State__________ Zip __________

_____     Phone number (           ) ____________________________

_____     FAX Number (         ) ________________________________

_____     E-mail address ________________________________________

_____     Website________________________________________________

_____     Owners name ___________________________________________

_____     Been in business since?   _____________________________

_____     Pick one  ________  General repair on American/Imports

                    ________  General repair on Import Only

                    ________  General repair on American Only

                    ________  General repair on _________________
                              ( ie Volvo and Honda)
    
                    ________  Specialty shop ____________________
                              (ie Brks, Radiators, Align, Trans)

_____     How many Techs do you have?____________________________

_____     How many are ASE certified? ___________________________

_____     How many are ASE Master Techs? ________________________

_____     How many have an L-1 rating?  _________________________

_____     Hours of operation?____________________________________
                                  (ie M-F 7:30 to 6 Sat 8-4)




Page two

 

_____     Are you a member of ASA?_______________________________

_____     Are you a AAA Approved facility?_______________________

_____     Are you an ASE Blue Seal shop?_________________________

_____     Any more info you want us to know?_____________________

_________________________________________________________________

_________________________________________________________________

_________________________________________________________________

_________________________________________________________________

Name of person nominating shop __________________________________

Phone # of person nominating shop (      )_______________________


*****************************************************************
EVERY field must be filled out, you will need the shop owner's
help to accomplish this. In the event you leave out important
information, we will not process your nomination.

WHEN COMPLETED, 
FAX TO 480-598-3600