NORTHWEST LOUISIANA COLLISION REPAIR ASSOCIATION

Application for Membership

Just the 10 numbers. Example: 0000000000 No symbols like ( ), or -, etc.
If no extension, just leave blank.
Just the 10 numbers. Example: 0000000000 No symbols like ( ), or -, etc.

If selected, I will make every effort to attend periodic meetings, contribute my knowledge, thoughts, and cooperation, to the best of my ability, to promote professionalism within the Collision Repair Industry in this area. I also understand that this organization is not discussing or promoting pricing or any other area which could be in violation of the Sherman Anti-Trust Laws.

Membership dues of $50.00 per year, per person should be mailed to:

Northwest Louisiana Collison Repair Association
P.O. Box 7161
Shreveport, LA 71137-7161

Membership are NON-TRANSFERABLE and NON-REFUNDABLE!

This is where you will sign the copy that is emailed to you. Mail the signed copy with your dues. Thank you.