Smart Groups Application

Name

Business Name

Business Address

Contact Telephone #

Contact Email

Website

WORLDPAC or ADVANCE Account No.

I acknowledge and consent for WORLDPAC to debit my account each month. Which group are you applying for:

Smart Group I (Foundational) $589 Smart Group II (Next Level) $789 Transformers Institute Virtual Mastermind $597 powered by Worldpac Transformers InstituteMastermind Gold PLUS ($1497) powered by Worldpac Transformers Institute Mastermind Platinum ($1597) powered by Worldpac Undecided at this time

Yearly Shop Revenue

Number of Employees

Number of Shop Bays

Shop Management System

Gross Profit %

Labor Margin %

Parts Margin %

Net Profit %

Tell us a little about yourself and why you would like to join a group

Please upload your income statement