REGISTRATION FORM
AMRA Maintenance Service Task Force

[Please complete and send to AMRA headquarters
at Fax: 202 318 0378]

I wish to become a part of the AMRA effort to establish maintenance service recommendations.

Please type or print:

NAME _________________________________________________________

TITLE__________________________________________________________

COMPANY________________________________________________________

ADDRESS ______________________________________________________

CITY_________________________STATE____________ZIP_____________

Phone ______________________________ Fax ________________________

E-mail address __________________________________________________

Product or service of interest: _____________________________________

How will it benefit the consumer? __________________________________

______________________________________________________________

Please send by mail, e-mail or fax to:
AMRA/MAP, 7910 Woodmont Avenue, Suite 760, Bethesda MD 20814
Fax: 202 -318 - 0378
larry@motorist.org