INSTRUCTIONS

Please complete the application below for the NADA-ATD Academy Truck Service Seminar on November 10 - 14, 2014 at NADA Headquarters in McLean, VA.

The registration process is NOT complete until payment is received and confirmed by an Academy representative.

All fields are required to complete the application process; items marked with a red asterisk (*) are required to submit this form.

If you would like to learn more about this seminar please call Diane Weppner, NADA-ATD Academy Registrar, at 703.821.7216 or send an e-mail to AcademySeminars@nada.org .

SUBMITTER INFORMATION (information for the individual completing this form)

Please select your relationship to the applicant
First Name * Last Name*
*
*

APPLICANT INFORMATION

Prefix
First Name* Last Name*
*
Street Address (home)
 
City State
 
Postal Code Country

DEALERSHIP INFORMATION

*
Dealership Street*
 
Dealership City* Dealership State*
 
Dealership Postal Code* Dealership Country*
*
*

ADDITIONAL QUESTIONS OR COMMENTS

Enrollment is subject to seat availability. Enrollment is NOT complete until payment is received and confirmed by a NADA representative.

If you have any questions about this seminar or any Academy program you may contact the NADA-ATD Academy at 703-821-7216 or Academy@nada.org