Associate Members

Become an Associate Member!

The Associate Membership is a great way to show your support for the Shop Rat movement and educational programs, plus get some great benefits. For just a $20.00 investment, you can become an official Shop Rat! Associate memberships are open to anyone 18 years of age and older. So tell you friends, family and fellow Shop Rats!

As an Associate Member you will receive the following:

Shop Rat Sticker to Show Your Pride
10% Discount on Shop Rat Merchandise
Member's Only Forum on the Shop Rat Website
Your Own Personal Shop Rat VIN#
Special "Members Only" Contests to Win Great Prizes!

Shop Rat Associate Member Application

Please complete the form below to submit your Associate Member application. Fields with an * are required. If you are paying with a credit card, then the number and expiration date are also required.

* First Name:

Middle Initial:

* Last Name:

* Address 1:

Address 2:

* City:

* State/Province:

* Zip/Postal Code:

* Country:

* Day Phone:

Evening Phone:

* Email:

Fax:

* Contact By:

Phone

Mail

* Date of Birth:

* Method of Payment:

Credit Card #:

Exp Date:

I certify that I am at least 18+ years old

Verification Code: zBnXT please enter code here:

Please contact Amanda Proctor at 517-769-2100 ext. 13 if you have any questions or experience any difficulty with this page. You may also print the membership application and submit it by mail or fax.