CCA Vendor Partner Membership – Auto Renew

If you do not want your membership to auto renew each year by credit card, or need to pay by check or cash, you can manually renew your membership (sign up again each year) by clicking HERE.

A Carolinas Collision Association (CCA) Membership includes:

• Full access to the CCA website
• Exclusive discounts from Sponsors/Vendors
• Quarterly Newsletter to keep you up to date on all CCA events and industry information
• Discounted or free access to most classes and events provided by CCA

If you want to be a sponsor DO NOT fill out this application, go to Sponsorship Level 1 or Level 2 option.

Terms:

$500 / Year

First Name:* First Name Required

Last Name:* Last Name Required

Address Line 1:* Address Line 1 is Required

Address Line 2: Address Line 2 is not valid

City:* City is Required

Country:* Country is Required

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State/Province:* State/Province is Required

Zip/Postal Code:* Zip/Postal Code is Required

Business Name:* Business Name is Required

Phone Number:* Phone Number is Required

Representative's Direct Phone Number (Other phone entry is business phone):* Representative's Direct Phone Number (Other phone entry is business phone) is Required

Email:* Email is Required

Website: Website is not valid

Sub accounts needed? (This will allow you to provide additional logins under your membership):* Sub accounts needed? (This will allow you to provide additional logins under your membership) is Required

Yes No

I am interested in (select all that apply):* I am interested in (select all that apply) is Required

Membership Chapter Lead Board Trade School Committee (Zoom call once a month) Legal Committee (Zoom call once a month) Consumer Committee (Zoom call once a month)

Will you offer a member discount?:* Will you offer a member discount? is Required

Yes No

Territory Coverage:* Territory Coverage is Required

NC SC Both

Email:* Invalid Email

Password:* Invalid Password

Password Confirmation:* Password Confirmation Doesn't Match

Select Payment Method

Cash or Check Credit Card

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Mail Payment to: Carolinas Collision Association 1233 The Plaza Unit 5100 Charlotte, NC 28299

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Last Name on Card

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No val Please fix the errors above