To begin your AutoAdMax membership, please completely fill out each section and click the Submit button at the bottom of the form.

If you are unclear how to fill out a section or why information is needed click on "What's This?" for reference.

You must read and accept the "Terms and Conditions" of the Use Agreement before this form can be submitted.   Your information will be processed immediately and a Sales Representative will contact you to verify your Payment Information.  

If you need assistance, please call 888.222.3220.

( * = Required )

 Dealership Information
Group Name(s)
( if applicable )
 
Name of Dealership*
Dealership Address*


 
City*
    State*         Zip*    
Phone* ( ) -
Fax* ( ) -
Market Area 1.
2.
3.
4.
5.

 Primary Contact/User Information
Note: Selecting "Email" allows that person to receive correspondence from AutoAdMax. This includes emails regarding responses to database requests, program updates, offline notification, invoices and any other news from AutoAdMax.
     Name*   Title*   Phone*   Fax*   E-mail*   Password*
(4-10 characters)
  Access*   Email
    
                 
 Additional Contact/User Information
Enter Additional Users at your dealership who will need to logon to AutoAdMax.
     Name   Title   Phone   Fax   E-mail   Password
(4-10 characters)
  Access   Email
1.
2.
3.
4.
5.
6.
                 

 Franchise Information
Select from the list each franchise your dealership represents.
ACURA
ASTON MARTIN
AUDI
BENTLEY
BMW
BUICK
CADILLAC
CHEVROLET
CHRYSLER
DAEWOO
DODGE
FERRARI
FIAT
FISKER
FORD
FREIGHTLINER
GENESIS
GMC
HONDA
HUMMER
HYUNDAI
INFINITI
ISUZU
JAGUAR
JEEP
KIA
LAMBORGHINI
LAND ROVER
LEXUS
LINCOLN
LOTUS
MASERATI
MAYBACH
MAZDA
MCLAREN
MERCEDES-BENZ
MERCURY
MINI
MITSUBISHI
NISSAN
OLDSMOBILE
PANOZ
PLYMOUTH
PONTIAC
PORSCHE
RAM
RANGE ROVER
ROLLS-ROYCE
SAAB
SATURN
SCION
SMART
SUBARU
SUZUKI
TESLA
TOYOTA
VOLKSWAGEN
VOLVO

 Other Dealerships to Monitor
   Name of Dealership  City
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 Payment Information
  AutoAdMax Custom Account Set-Up Fee - $1400
This one-time fee includes the creation of your dealership's master Survey form, programming of your dealership's user interface, market research for your dealership's customized database.
 
   


AutoAdMax Monthly Use Fee

Select one of the following payment options:
  OPTION 1: CREDIT CARD
Pay Monthly by credit card
- $375
Your credit card will be charged for the Total Initial Investment calculated below.
This is a month-to-month agreement. Your dealership will be charged $375 on the first day of each month.
 
  OPTION 2: INVOICE
Pay Monthly by check
- $375
Your dealership will be invoiced for the Total Initial Investment calculated below.
This is a month-to-month agreement. Your dealership will be invoiced $375 on the first day of each month.
 
  AAM Authorization Code:
   
  
   TOTAL INITIAL INVESTMENT
  
   CANCELATION POLICY: To cancel your AutoadMax account send an email 30 days in advance to: support@autoadmax.com

**Account Activation Process: To ensure that an accurate and organized system is established, the information entered on this Sign-up Form will be processed through Research & Development, Programming and Design. Within 5 business days after payment has been received, your account's Primary Contact will be emailed notification that your account has been activated and the information needed to begin collecting and entering Surveys.
 
 Credit Card Information
Card Holder's Name
Credit Card Number  Card Type    Expiration   / 3-digit security code
               

For Visa and MasterCard
users. The last 3 numbers
of the 7 digit number in the
signature line on the back
of your card.

 
 

I have read and accepted the terms and conditions of the Use Agreement (here).
( Must be checked for Sign-in Form to be submitted.)