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OPTIONAL:
Membership Application PDF
Click here to download

REQUIRED:
Non-disclosure PDF
Click here to download

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Business Information.

Date:

Referred by:

Busness Name:

 

Busness Phone:

Busness Address:

 

Busness FAX:

City:

State: Zip Code:

FAX is Dedicated:

Yes No

Days and Hours:

Business E-mail:

Web Site:

 

 

 

 

 

 

Business Owner Information.

Owner Full Name:

Home Phone:

Address:

Mobile phone:

City:

State: Zip Code:

Other Phone:

Spouse/Other:

Owner E-mail:

Second Owner Information, if Applicable.

Owner Full Name:

Home Phone:

Address:

Mobile phone:

City:

State: Zip Code:

Other Phone:

Spouse/Other:

Owner E-mail:

General Information.

Primary Business:

General Transmission Tune-up Electrical Specialty Other

Business Status:

Sole Proprietorship Partnership S-Corp. C-Corp. LLC.

Financial Statements:

Monthly Quarterly Semi-Annually Annually

Accounting System:

In-house Electronic Manual /// Out-source: Electronic Manual

Years in Business:

Annual Gross $:

Employee Count:

Number Locations:

Manager Full Name (if not owner):

 

Name of Person Responsible for Composite Questions::

 

 

Affiliations:

Chamber of Commerce BBB ASA Other

Auto Care Center:

NAPA

Car Quest

Parts Plus

Autozone

Other

Oil Affiliations:

Chevron

Shell

Mobile

Arco

Other

Tire Affiliations:

Goodyear

Firestone

Tire Factory

 

Other

Payment Information

By providing the following information, I hereby authorize RLO Training to apply any past-due billing to my account,
and to charge deposit and set-up fees.

Card Type:

VISA

Discover

MasterCard

American Express

Name as it appears exactly on the card:

 

 

 

 

Card Number:

We will phone you. Do not include any credit card number in the form whatsoever.

Billing Address:

City:

State: Zip Code:

Bottom-Line Impact Groups Membership Interests.

Becoming a better manager.

Improving my business operations.

Becoming an industry leader.

Getting specific management training.

Becoming more organized.

Seeing how my business compares with others.

Earning additional profits.

Improving growth of my business.

Please include any additional inerests or reasons for becoming a Bottom-Line Impact Groups Member:

References.

Name:

Type (Supplier, etc.):

Phone:

Name:

Type (Supplier, etc.):

Phone:

Name:

Type (Supplier, etc.):

Phone:

 

 

 

 

 

 

 

Green labels are required.

RLO Training
1400 Talbot Road S.
Suite 200
Renton, WA 98055

Toll-Free: 800.755.0988
FAX 425.988.6179
OFFICE HOURS:
7:00 A.M. to 4:00 P.M. Pacific