CCA Vendor Partner Membership – Manually Renew

If you do not want to have to renew your membership each year manually, use the auto-renewal option to save time! Click 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.

Price:

$500 for 1 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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