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ATRA
2400 Latigo Avenue
Oxnard, CA 93030
(805) 604-2000
866-GO-4-ATRA
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International Member Application To apply for ATRA Membership please complet all required information below. For INTERNATIONAL MEMBERS outside of USA and Canada only. International members have TWO OPTIONS: International Online—Access to all technical information via the Internet. Does not permit access to the Technical HotLine or ATRA Technicians via fax or email. $25/month paid annually on January 1st each year. International Technical Subscriber—Same as regular Technical Subscriber includes access to all technical information including HotLine and fax or email technicians. $85/month. Payment options include monthly, quarterly and annually. Monthly must be paid automatically by credit card. NOTE: If you are interested in becoming a Rebuilder, Technical Subscriber or Supplier member, click on the appropriate link and submit the form to membership services. * Indicates Required Field

Step 1: Owner Information
Membership Type:	International Online Member International Technical Subscriber
First Name:	*
Last Name:	*
Home Phone:
Email Address:	*

Step 2: Business Information
Business Name:	*
Street Address:	*
City:	*
State:	*
Postal Code:	*
Country:
Telephone:	*
Fax:
Shop Email Address:
Shop Website:

Step 3: Bill to Information
	Same as Above
Mailing Address:
City:
State:
Zip Code:
Country:

Step 4: Shop Employees
Please list all employees at your shop. Each employee will be entered into the ATRA database and will be given their own logins and passwords for access into the Member's Only areas of the ATRA Online Tech Center.

First and Last Name:
Email:
Password:
Title:		Owner Manager Rebuilder Diagnostician Other

First and Last Name:
Email:
Password:
Title:		Owner Manager Rebuilder Diagnostician Other

First and Last Name:
Email:
Password:
Title:		Owner Manager Rebuilder Diagnostician Other

First and Last Name:
Email:
Password:
Title:		Owner Manager Rebuilder Diagnostician Other

First and Last Name:
Email:
Password:
Title:		Owner Manager Rebuilder Diagnostician Other

First and Last Name:
Email:
Password:
Title:		Owner Manager Rebuilder Diagnostician Other

Step 5: Additional Information
How did you hear about ATRA?	If Other,
Additional Information:


Step 6: Payment Information
ATRA offers payment by check, or by automatically charging your credit card. If you choose to make your payment using the "Auto Pay" plan you will be eligible for a $5/month discount. ATRA offers payment by check, or by automatic charge to your credit card. Download Payment Form International members have TWO OPTIONS: International Online—Access to all technical information via the Internet. Does not permit access to the Technical HotLine or ATRA Technicians via fax or email. $25/month paid annually on January 1st each year. International Technical Subscriber—Same as regular Technical Subscriber includes access to all technical information including HotLine and fax or email technicians. $85/month. Payment options include monthly, quarterly and annually. Monthly must be paid automatically by credit card. You will be contacted by a Membership Services Specialist for your Payment Information after your application is submitted. Please Note: There is also a $100 application fee for processing your membership application.

Step 7: Terms of Membership

Additional Acknowledgements — Applicant understands and agrees that resignation from membership in the association together with the applicant’s continuing obligation to pay monthly membership fees shall only take effect and cease at the end of the last month during under which all advertisements and promotional materials identifying the applicant as a member of the association (including but not limited to the display of the ATRA logo) ceases to be displayed at the applicant’s place of business, in any local telephone directories, business cards, brochures and/or any other type or kind of promotional communication, material, means or device.

Please read and agree to the Terms of Membership prior to submitting your application. NOTE: You will need to scroll through the text box to get to the checkbox.

TERMS OF MEMBERSHIP:
I have read, understand and agree to be bound by ATRA's By-Laws and the Conditions of Membership including but not limited to the Member Advertising Standards and use of Association Promotional Materials Logo and Emblems. I further understand that my membership application is under review and my membership is in a probationary period for 30 days while pending review. I AGREE

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