GM Warranty Management Workshop

For assistance with completing this form

> Call: 1.800.852.6298
> Email: customer service

GM Warranty Management Workshop Sign-up

1-Day Workshops
Investment amount: $449 per student, $195 for each additional.

* 1. Select the workshop you wish to attend:

2. Attendee information
* 1st Attendee: (full name)	3rd Attendee: (full name)
2nd Attendee: (full name)	4th Attendee: (full name)
3. Company information:
* Dealership Name: Dealer Code: * Mailing Address: * City:
* State/Province: * Zip: Email:	* Phone: Phone Extension: Fax:
Shipping Address (if different from mailing): City:
State/Province:	Zip:
4. Reason for interest in this service: (i.e. high warranty expense)

* 5. Discounts: If you received a direct mail piece please provide the offer code to apply any applicable discounts.
OC# (Found near phone # or mailing label)
If you didn't receive a direct mail piece (postcard / letter / flyer), how did you know to seek J&L Warranty Pros for help?
	Other:
6. Special discounts
Warranty Administration Program member - Deduct $25 Factory representatives - FREE admission Group Discounts: (2 or more attendees must be from same group) Service Manager Club members - Deduct $25 --- Club name: Warranty Administrator Club members - Deduct $25 --- Club name: Sorry, discounts may not be combined.
7. Payment Options
I will fax a check to 800.909.5678 for payment (must be received within 2 days of this order.)
Call me for credit card	A.M. or P.M.
Charge my credit card
Credit Card Number
Credit Card Security Code
Name on card
Expiration Date (mm/yy)