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Welcome to West Herr's select Purchase Program

Please complete the information below so we can process your Free Registration. A personalized Select Welcome Packet along with a preferred member ID card will be mailed to you with in 10 -15 days.

Important Notice: By Filling in this form you certify that you are an employee of a West Herr Select Eligible Company
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How Did you Hear About West Herr's Select Program?

Personal Information

First Name:

Middle Name:

Last Name:

Street Address:

City:

State:

Zip Code:

Work Phone Number:

Home Phone Number:

Cell Phone Number:

E-Mail Address:

Already Have a Salesperson?

Company Information

Your Employer/Organization:

Not in the list Above? Type It Here:

Your Office/Location (Be Specific):

Vehicle Information

Are you currently looking for a vehicle?

When do you think you will be in the market for a vehicle:

What type of vehicle are you looking for?

What style of vehicle are you looking for?

Year:

Make:

Model:

Color:

Equipment:

Do you have another choice of vehicle in mind:


What type of vehicle are you looking for?
What style of vehicle are you looking for?
Year:
Make:
Model:
Color:
Equipment:
Do you have another choice of vehicle in mind:


What type of vehicle are you looking for?
What style of vehicle are you looking for?
Year:
Make:
Model:
Color:
Equipment:

Would you like to set up a Test-Drive Appointment?

When do you think you will be in the market for a vehicle:
What type of vehicle will you be looking for?
What style of vehicle will you be looking for?
Possible Year:
Possible Make:
Possible Model:
Possible Color:
Possible Equipment:
How will you purchase this vehicle?

Have you previously purchased a West Herr Vehicle?

Which West Herr Dealership:
Approximate Date of Purchase:
Name of SalesPerson:
Did You purchase a New or Used Vehicle:

Contact

Would you like to receive West Herr's periodic newsletters and email notifications with additional special offers and discounts?

How may we contact you?

Additional Comments

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Thank you for registering in the West Herr Select Vehicle Purchase Plan. Your assigned Select Representative will contact you regarding confirmation of your membership and will be available to answer any of your pricing or benefit plan questions. A vehicle purchase is not required to become a member of this plan.

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IMPORTANT NOTICE: Benefit details are specified in your Select Welcome Packet and at westherrselect.com. Select Plan discounts are subject to change without notice. Prior sales excluded. Not redeemable for cash.

Direct Select Solution $500 off used cars Dealer Invoice Pricing on New Cars Tailored Finance Options Vehicle Protection Plan Discounts Service Discounts 10% OFF Vehicle Accessories $50 OFF Collision Center Services 10% OFF Enterprise Rent-A-Center Special Web Site Westherrselect.com for members

Who is eligible to participate? How do I begin to use this Benefit? Eligible Vehicles

I am an employee of a Eligible Company How can my company become elligible? How to Opt-Out