The
National Association of Minority Automobile Dealers (NAMAD)
2012 Annual Membership Meeting

July 24-28, 2012
At

Aria Resort and Casino,
Las Vegas, NV

2012 Conference Registration Form

Name

Title

Dealership/Organization

Telephone

Fax

Mobile

Address

City, State and Zip

Email Address

Select Your Organization Type

_Dealer_Dealer Candidate _Manufacturer Representative _Vendor _Non Member

Please complete for spouse/guest (if attending the conference)

Spouse/Guest Name

Spouse/Guest Name 2

Please complete for each child (ages 3-17) attending the conference

Child's Name

Child's Age

Child 2's Name

Child 2's Age

Registration Pricing Information

Registration Type	Registration Fee
Member	$200
Non Member	$300
Manufacturer Rep.	$300
Vendor	$300
Spouse (there will be no scheduled spousal events)	$200
Child(ren) 3-17 (there will be no scheduled children events)	$200

Number of Members Attending 0 1 2 3 4 5 6 7 8 9 10

Number of Non Members Attending 0 1 2 3 4 5 6 7 8 9 10

Number of Manufacturer Reps Attending 0 1 2 3 4 5 6 7 8 9 10

Number of Vendors Attending 0 1 2 3 4 5 6 7 8 9 10

Number of Spouses/Guests Attending 0 1 2 3 4 5 6 7 8 9 10

Number of Children Attending 0 1 2 3 4 5 6 7 8 9 10

Calculate Total Registration Fee Calculate Total Registration Fee:
  

Your Total Registration Fees

DEALER ONE ON ONE MEETINGS:
Dealers and Dealer Candidates who are NAMAD members may choose to meet one on one with manufacturers to discuss future opportunities. Please list the manufacturers you would like to meet with in order of interest. A maximum of three (3) meetings will be arranged, however please select four (4). The Minority Dealer Talent Registry must be completed by June 24, 2012 in order for your Dealer One on One meetings to be scheduled.

If you have questions, please call Pam Walk, NAMAD Member Relations, at 301-306-1614.

Member Name

Select four (4).
Note: Please number in order of preference.

American Honda Motor Company

Audi of America, Inc

Chrysler Corporation

Ford Motor Company

General Motors Corporation

Hyundai Motor America

Kia Motor America

Mazda North American Operations

Mitsubishi Motors North America, Inc

Nissan North America, Inc

Subaru of America, Inc

Toyota Motor Sales, U.S.A. Inc

Volkswagen Group

Mercedes-Benz U.S.A LLC

NAMAD 9475 Lottsford Road, Suite 150 Largo, MD 20774 - Fax Event Registration form to 301-306-1493
All registrations are final. No Refunds.

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