California Service Station & Automotive Repair Association
	Working for you, the Industry Professional

Fill out and submit the form below and we'll mail you a full registration packet.

Summer Special! Dues: $199 Per Year

CSSARA Membership Application

Name: DBA:

Business Address

Home Address

Business Phone: Fax:

Home Phone:

Please type your brand and number of locations in the box below

Services Offered:
Retail Gasoline Auto Repair Propane	Car Wash Towing AAA Facility	Convenience Store/Mini Mart Auto Body Work Smog Check
Other:

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Dues payments are deductible by members as an ordinary and necessary business expense.
Contributions or gifts to CSSARA are not deductible as Charitable Contributions for Federal Income Tax Purposes.
(Membership Dues are Non-Refundable)

CSSARA - 1605 Fourth Street, Suite C, Santa Rosa,  CA 95404 - PHONE (707) 545-6376 - FAX (707) 545-6751