NBMBAA 31st Annual Conference & Exposition

Ford Survey

Enhance your conference experience by joining Ford for 3 nights of interactive fun at the National Black MBA Conference..... learn more about Ford events and vehicle discounts

First name

Last name

Address

Address

City

State

Zip

Country

Email

Home phone

Cell phone

1	I am 18 years of age or older. [REQUIRED]
	Yes No

2	Please email me communications including product information, offers and incentives from Ford and the local dealer. [REQUIRED]
	Yes No

3	How do you plan to obtain your next vehicle? [REQUIRED]
	Purchase Lease

4	When do you plan to acquire your next vehicle? [REQUIRED]
	0-30 days 1-3 months 4-6 months 7-12 months No Definite Plans

5	How likely are you to buy a Ford, Lincoln-Mercury product? [REQUIRED]
	Very likely Likely Undecided Unlikely Very unlikely