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NOTE: All fields are required. For the fastest service, please include all information.
First name  Last name 
Home phone number  Work phone number
Mobile phone Number  Address 
City  State  ZipCode 
Email address  Mobile Phone Email address
What is your primary occupation?
Territory - able to cover in 50 mile area (list all cities)
Territory - willing to cover outside of 50 mile area (list all cities)
Are you performing any inspections now? If yes, what type? (check all that apply)
Which inspection types are you interested in performing for CARCHEX? (check all that apply)
Can you inspect: (check all that apply)
Preferred number of inspections per week (enter amount)
Maximum number of inspections per week (enter amount)
Are you interested in performing services other than inspections
(i.e. take photos & write descriptions of vehicles for sale)
Do you have a computer with internet access?
Do you regularly check your e-mail?
Do you have a Digital Camera?
Can you accept SMS (Text Messages) on your wireless phone?
Do you have a Paint depth gauge?
Do you have a Tread depth gauge?
Do you have ASE CERTIFICATIONS?
If Yes, please list ASE CERTIFICATIONS and how long for certified
Please list all other automotive CERTIFICATIONS(previous and current) and how long for certified
What are your current automotive QUALIFICATIONS?
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