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SERVICE, BODY OR PARTS SHOP RECOMMENDATION

Please specify:  Member  or Non-member:

Name:
Membership Number (if known and a member):
           

 Email address:


Recommended Shop:

Name:
Street

           

City or Town

State or Province:

Zipcode or Postcode

Country (if not USA)
Type of business (repair shop, body shop or parts supplier):

Shop contact information:
   
Business Ph.
:
    Other/Cell Ph. (if any):

    Fax (if any): 


    Email address (if any):
    Website (if any):


other comments, shop specialty, etc.:


                                                                

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