Prospect Qualification Form
Submit your opportunity to the AMM Team to qualify your prospect, uncover any intel or OEM insights, and date limitations of the OEM Programs. The more information you provide, the better we can set you up for success with your prospect!
AE Name
(Required)
First
Last
AE Email
(Required)
Additional Emails to include
Include any emails of your colleagues to include in communication about this opportunity separated by comma.
Regional Director
(Required)
Please select your Regional Director
Tim VanderZwaag
Jon Bodnar
Cramer Robinson
Meghan Glenn
Rocco Bernardoni
Market – Tim VanderZwaag
(Required)
Please select your Market
Bismarck
Champaign
Chicago
Cleveland
Columbus, OH
Dayton
Evansville
Fort Wayne
Grand Rapids
Green Bay
Indianapolis
LaCrosse
Lansing
New Haven
New York
Peoria
Philadelphia
Providence
Rockford
Terre Haute
Washington DC
Youngstown
Market – Cramer Robinson
(Required)
Please select your Market
Alexandria
Baton Rouge
Des Moines
Fayetteville
Jackson, TN
Joplin
Kansas City
Knoxville
Lafayette, LA
Little Rock
Memphis
Monroe
Nashville
New Orleans
Oklahoma City
Quad City
Shreveport
Sioux City
Springfield, MO
St.Louis
Topeka
Tri Cities
Wichita
Market – Jon Bodnar
(Required)
Please select your Market
Abilene
Albuquerque
Amarillo
Bakersfield
Billings
Colorado Springs
Denver
El Paso
Fresno
Grand Junction
Honolulu
Las Vegas
Los Angeles
Lubbock
Midland
Phoenix
Portland
Sacramento
Salt Lake City
San Angelo
San Diego
San Francisco
Market – Meghan Glenn
(Required)
Please select your Market
Augusta
Austin
Birminghman
Brownsville
Charleston, SC
Charlotte
Columbus, GA
Dallas
Dothan
Greensboro
Greenville, NC
Hattiesburg
Houston
Huntsville
Jackson, MS
Mobile
Myrtle Beach
Panama City
Raleigh
Savannah
Spartanburg
Tampa
Tyler
Waco
Wichita Falls
Market – Rocco Bernardoni
(Required)
Please select your Market
Albany
Altoona
Binghamton
Bluefield
Buffalo
Burlington
Charleston, WV
Clarksburg
Elmira
Erie
Harrisburg
Lexington
Norfolk
Rapid City
Richmond
Roanoke
Rochester
Sioux Falls
Springfield, MA
Syracuse
Utica
Watertown
Wheeling
Wilkes Barre
Your Opportunity Details
Dealership Name
(Required)
Include Dealership Name if submitting individual rooftops. If submitting an Auto Group, please include each store name and url in the “Anything else you would like to add” field?
OEM
(Required)
Please select the brand for this dealer
Group
Acura
Alfa Romeo
Aston Martin
Audi
Bentley
BMW/Mini
Ford/Lincoln
GM (Chevrolet/Buick/GMC/Cadillac)
Genesis
Honda
Hyundai
INFINITI
Jaguar Land Rover
Kia
Lexus
Maserati
Mazda
Mercedes-Benz
Mitsubishi
Nissan
Porsche
Rolls Royce
Stellantis (Chrysler/Jeep/Dodge/Ram/Fiat)
Subaru
Toyota
Volvo
Volkswagen
Other
Please identify the dealership brand
Number of Rooftops
(Required)
Please enter a number from
1
to
500
.
If you selected Group, please indicate the number of rooftops.
Website
(Required)
Please ensure the dealership’s full website url ONLY is included. No Bing search results, UTM codes, or search codes will be accepted. Accepted format example: https://www.hauserchevrolet.com/
Address
(Required)
Street Address
City
State / Province / Region
ZIP / Postal Code
Anything else you would like to add?
Feel free to drop us a note, concern, or comment as you submit your opportunity for qualification.
CAPTCHA
Name
This field is for validation purposes and should be left unchanged.