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First Name    *

Last  Name    *

Title   

Company/Dealership  *

Address  *

City  *State  *Zip  *

Phone *

Your email      *required for subscription notices and newsletters

Month of Birth *
   Required for audit validation purposes only

1. Position or Title Choose one from list Owner/Dealer Principal President/Vice President Corporate Officer/Controller General Manager/Sales Manager Internet Manager Service Manager Finance/Business Manager Department Manager/Director Other *

2. Company Type Choose one from list Motor Vehicle Franchise (retail new vehicles) Independent Dealer (no new vehicles sold) Motor Vehicle Repair Facility Only Association/Auction Lender Auto Industry Supplier Other   *

3. Are you affiliated with a new vehicle franchise? (Affiliated-owners have a new vehicle franchise even if at different location) Yes No

4. Customer credit serviced (check all that apply)
    Prime Financing
    Subprime Financing  Department in house
    Provide BHPH services at any location
    Cash Only-No Financing offered

5.  Annual New Vehicle Sales
     <600
     601-1200
     1201-1800
     >1800

6.  Total Annual Vehicle Sales
     <600
     601-1200
     1201-1800
     >1800