Rebuilder & Technical Subscriber Application To apply for ATRA Membership please complete all required information below. For REBUILDER MEMBERS and TECHNICAL SUBSCRIBERS only. NOTE: If you are interested in becoming an International or Supplier member, click on the appropriate link and submit the form to membership services. * Indicates Required Field
Step 1: Owner Information
	Rebuilder Member Technical Subscriber
First Name:	*
Last Name:	*
Home Phone:
Email Address:	*
Step 2: Business Information
Business Name:	*
Street Address:	*
City:	*
State:	Select a State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming *
Zip/Postal Code:	*
Country:	United States Canada
Telephone:	*
Fax:
Shop Email Address:
Shop Website:
Step 3: Bill to Information
	Same as Above
Mailing Address:
City:
State:	Select a State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip Code:
Country:	United States Canada
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?	Please Tell Us... GEARS Magazine ATRA Technical Seminar ATRA's Powertrain Expo Telemarketer Mailing Other If Other,
Additional Information:

Rebuilder Membership— Each Repair Business or Repair Business Owner must have been continuously in operation at its present location for a minimum term of two years prior to its application for Rebuilder Membership to ATRA. Additionally, each Repair Business or Repair Business Owner must have conducted its business operations during this timeframe without any unfavorably-resolved governmental regulatory agency or Better Business Bureau violations, complaints and/or actions. Technical Subscriptions are available to businesses in operation at its present location for less than two years.

Golden Rule Acknowledgement — BY MY SIGNATURE, I ACKNOWLEDGE that if we fail to comply with the terms of the Golden Rule Program, we may be involuntarily expelled from Association membership per the directive of the ATRA By-Laws, and held liable for any debts incurred up to that time. We specifically agree to comply with the Golden Rule Warranty Program Terms.

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.

ATRA Member Code of Ethics — ATRA Members Pledge:

• To diagnose, repair and warrant transmissions and automobiles with honesty, integrity and expertise;
• To conduct business affairs with other members, affiliates and competitors, in accordance with the concept of the "Golden Rule";
• To strive to maintain the highest level of technical expertise through continuing education of company personnel and technical staff
• To maintain a clean, safe and orderly workplace, and a professional and courteous staff that will be a credit to the profession;
• That transmissions represented as "rebuilt" shall conform to the Association Minimum Rebuild Standards

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.