AutoShopBlacklist.com - AutoShops Sign Up

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Account Information

E-mail Address: *

Password: *

Business Information

Business Name: *	Business License Number: *
License Origin Date: *	License Expiration Date: *
Business Type
My shop is a part of a franchise Please contact the site administrator for further instructions on how to continue signing up as a franchise. Click here to visit our Contact page.

Personal Information (for private use only)

Owner/Manager First Name: *	Owner/Manager Last Name: *
Shop is located within the United States
Street Address (line 1):*	Street Address (line 2):
City: *	State: *
Phone Number: *	Referred By:

Disclaimer:

Autoshopblacklist is not responsible for any and all comments made by participating auto shops or any person or entity that legally or illegally does not conform to our standards. This site is for auto shop owners exclusively, not the general public, and will not be responsible for actions of members.
            
Rules of being a registered shop owner include address, phone number, occupational license number along with the origin and exp dates.
            
Any and all false information given will be subject to removal from this site. Any company, person or entity who purposely participates against said rules of being a registered shop owner will be removed and prosecuted to the fullest extent of the law.

I have read and agree to the above disclaimer