Obtain an Authorization Number

Please verify the information below. Incorrect information may delay or void your discount at the dealership.

Purchaser’s First Name: {{fields.purchaserFirstName}}

Purchaser’s Last Name: {{fields.purchaserLastName}}

Purchaser’s Date of Birth: {{fields.birthDate | dob}}

Purchaser’s ZIP Code: {{fields.zipCode}}

Purchaser’s ZIP Code: {{fields.zipCodeCanada}}

Purchaser’s Relationship to You: {{fields.relationship}}

Program Used:

Company Name: {{partnerName | titlecase}}

Subsidiary: {{subsidiaryName}}

I understand that I may be required to provide documentation verifying the relationship to my sponsorship purchaser. {{fields.relationshipAgree ? 'AGREED' : ''}}

Conquest Sale: {{conquestSale}}

Purchaser’s Current Vehicle Make: {{conquestVehicle}}

Reason for Discount: {{conquestCurrVehicle}}

Last Eight Digits of Current Vehicle VIN: {{conquestCurrVehicleVin}}

Is the purchaser a judge, judicial officer or member of the judicial branch? (federal, state or local): {{fields.govtEmployee}}

Is The Purchaser a Government Employee? (Federal, State, or Local government): {{fields.govtEmployee}}

If this is not your email address, {{fields.emailAddress | lowercase}} Click to change

You will receive a confirmation email with your authorization number information at the email address listed above. Please note that updating your email will change your user name to the email address entered. You will have the option to email this authorization number to others when completing this request.

Review the Rules and Guidelines

You will have the option to email this authorization number to others when completing this request.

Please read and agree to the Rules & Guidelines before continuing.

Review the Rules and Guidelines

Please read and agree to the Rules & Guidelines before continuing.
(Please scroll up and down to ensure that you do not miss important content.)

Review the Rules and Guidelines.

By clicking “Get Authorization Number,” you acknowledge acceptance of the Rules and Guidelines. Violations of these rules by any purchaser will result in sanctions against the eligible Participant.

By clicking "Get Authorization Number" you acknowledge acceptance of the Rules & Guidelines and the Active UAW-GM Hourly Employee Vehicle Purchase Allowance Program Terms and Conditions. Violations of these rules by any purchaser will result in sanctions against the eligible participant. I have read and accept the Rules & Guidelines. I understand that any violations by me, or by my sponsored purchasers, may result in sanctions as set forth in the Rules & Guidelines.

By clicking "Get Authorization Number" you acknowledge acceptance of the Rules & Guidelines and the Employee Appreciation Certificate Program Terms and Conditions. Violations of these rules by any purchaser will result in sanctions against the eligible participant.

I have read and accept the Rules & Guidelines. I understand that any violations by me, may result in sanctions as set forth in the Rules & Guidelines.

Not yet. Go back and edit details.