To confirm your company's participation please complete the steps below:

*-Indicates Required Field

 

 
1.  Check the box for the level of sponsorship you have selected: *
We will participate as a "Retailer Exploration" Level Sponsor at $995.
We will participate as a "Luxury Lap" Level Sponsor at $495.
 
  Company:*
  Contact Name:*
  Address:*
  City:*
  State:*
  Zip:*
  Country: *
  Telephone: *
  Fax: *
  E-mail: *
  Payment Method: * Visa  
MC  
AMEX
Discover
Check (If paying by check, see step #2)
  Authorized Purchase Amount:
  Credit Card Number:
  Expiration Date:
  Cardholder Name:
     
 

Please Note: This is Not a Secure Server.
If you prefer to fax your credit card information, please email rmcgrath@nacds.org and we will send you information to complete the purchase.

2.  If paying by check, please print a copy of this page and then click the "submit" button below. Mail the printout with your payment by June 7 to:

NACDS Retailer Relay Program
Attn: Roy McGrath
413 N. Lee St.
Alexandria, VA 22314