Pub. 5 Issue 1

26 Yes, we would like to join for 2019. ( Renew or NewMember ) Dealership/Name: Dealer Address: Dealer Phone: Fax: Dealership Principal Name/Email (for communication only): General Manager Name/Email: Office Manager/Controller Name/Email: Address: Dealer Phone: Fax: $200.00 dealership or main location $200.00 Total Dealerships Total Due Payment Type  Amex  Visa  MC  Check Payable to: Greater Los Angeles New Car Dealers Association Credit Card: Expiration Date: CVV#: Name on Credit Card: Signature: Greater Los Angeles New Car Dealers Association Management Office 2520 Venture Oaks Way, Suite 150 Sacramento, CA 95833 Contact Us: Phone (213) 748-0243 Fax (213) 748-0245 bob@glancda.org • www.glancda.org GLANCDAmembership runs until December 31, 2019. *Note: All contact information is for membership communication only. Per additional dealerships under same ownership. Please fill out information form for each additional dealership. R enew Y ouR M eMbeRship T odaY ! d ues p Ricing 2019 TWO ANNUAL LUNCHEON TICKETS First Name: Last Name: Company: Email: First Name: Last Name: Company: Email: new! R enew YouR MeMbeRship online aT www . glancda . oRg Join or Renew your GLANCDA M embership for 2019 Calendar Year oR use foRM below