Audi Club North America - Affinity Certificate Request Form

Audi Club North America
Member Loyalty Discount

Request Form

Please complete the following form to request your Member Loyalty Discount.

U.S. Members: Receive 6% off MSRP on the purchase of a new or leased Audi from Audi of America. Only valid at participating dealers and model restrictions apply.

Canadian Members: Receive up to C$1,250 cash incentive on the purchase or lease of a new Audi from Audi Canada.

ELIGIBILITY

U.S. and Canadian Members: You must be a member for one (1) month to be eligible for this discount. New 3-Year or Lifetime Members are immediately eligible for this discount.

*Please allow up to 3 business days for affinity certificate request processing, as we are unable to guarantee fulfillment of same day or next day requests.

Name:*

First NameLast Name

Email*

example@example.com

Phone Number

Please enter a valid phone number.

Audi Club Member Number:*

Have you confirmed your Audi dealer's participation in the Affinity Discount Program? You must confirm this prior to submitting an Affinity Certificate Request.*

YesNo

If you have selected No, you will need to contact your dealership to get confirmation that they will accept the certificate. We cannot issue a certificate without their approval.

You will need:

Name of Audi Dealership
Audi Dealership Phone Number
Salesperson's Name
Salesperson's Email Address
Salesperson's Phone Number

Name of Audi Dealership:*

Audi Dealership Phone Number:

Please enter a valid phone number.

Salesperson's Name:*

Salesperson's Email:*

Salesperson's Phone Number

Please enter a valid phone number.

What year/model Audi are you looking to purchase? *

Is this purchase replacing one of your current vehicles? If so, what vehicle are you replacing? If this does not apply to you, please type N/A.*

If you've purchased or leased a new or used Audi from an Audi dealership in the past, please let us know the Audi(s) you've purchased previously and the name(s) of the Dealership(s). If this does not apply to you, please type N/A. *