ncm bhph 20 group application

Name:

Title:

Business Name:

Address:

City:

State:

Zip Code:

Phone:

Fax:

E-Mail:

Check all that apply:

Single Point Location

Multi-Point Location

Related Finance Company

Location 1
# of units sold per month	# of outstanding accounts
$ value of outstanding accounts	Type of computer software
How long at this location	Age of facility

Location 2
# of units sold per month	# of outstanding accounts
$ value of outstanding accounts	Type of computer software
How long at this location	Age of facility

Location 3
# of units sold per month	# of outstanding accounts
$ value of outstanding accounts	Type of computer software
How long at this location	Age of facility

% Of Business You Own

Give names, relationship, and % of ownership of other owners:

Spouse's Name (If Applicable)

Involved In Dealership?

Yes

Children Ages

Involved In Dealership?

Yes

If you own other businesses or dealerships, indicate location, franchises, and % of ownership:

Location

Franchises

% Of Ownership

If you would like to give professional or personal achievement information, please use this space:

Upcoming NCM Events

Visit us at Booth #1555 at NADA in New Orleans
Internet Dealership Bootcamp^sm
December 9-10, 2008
Dallas, TX

Special Finance Bootcamp^sm
December 9-11, 2008
Tampa, FL

Pre-Owned Vehicle Bootcamp^sm
January 6-8, 2009
Overland Park, KS

GM Bootcamp^sm
March 9-13, 2009
Overland Park, KS

GSM Bootcamp^®
March 11-13, 2009
Overland Park, KS

Service Management Bootcamp^®
March 17-20, 2009
Atlanta, GA

Internet Director/Manager Bootcamp^sm
April 21-23, 2009
Chicago, IL

Financial Statement Bootcamp^®
September 14-15, 2009
TBD

Parts Management Profit Conference^sm
September 16-17, 2009
TBD

Executive Financial Management Bootcamp^®
September 16-18, 2009
TBD