Mechanic Survey

To receive additional information on becoming an installer and/or tuner for HAFC/PICC, fill out the form below. The fields shown in bold are required. It is vital that you provide us with a valid email address because you will receive important information via email.

First Name:
Last Name:
Company Name:
Home Phone:	(i.e. 555-555-5555)
Work Phone:	(i.e. 555-555-5555 or 555-555-5555x1234)
Other Phone:	(i.e. 555-555-5555 cell)
Email address:	(i.e. name@domainname.com)
PHYSICAL ADDRESS
Street:	(PO Box not permitted)
Apartment/Suite:
City:
State/Prov:	(US territories are excluded)
Zip/Postal Code:	(i.e. US 12345 or 12345-1234, Canada A1B 2C3)
Country:
MAIL ADDRESS (if different from billing address)
Street:
Apartment/Suite:
City:
State/Prov:	(US territories are excluded)
Zip/Postal Code:	(i.e. US 12345 or 12345-1234, Canada A1B 2C3)
Country:
Are you a licensed mechanic?
Are you ASE Certified?
Do you make your living as a mechanic?
Are you currently a tuner?
Do you have or work in a dyno shop?
Do you work full time in a shop?
Do you own your own shop?
How many mechanics do you currently employ?
Do you have any teaching experience?