Please complete the following information about you and your vehicle purchase plans. We will contact you by phone or e-mail within 48 hours. We’ll answer any questions you have and if you decide to order a vehicle, we’ll determine the price and set up a delivery date.

Information About You
Name:	Primary Email: home work other	Secondary Email: home work other
Work Phone: () -	Home Phone: ()	Mobile Phone: ()
Fax: ()	Other Phone: ()
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Additional questions, comments or concerns:
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Vehicle Specification
Pre-owned	Year	Make Acura Audi BMW Buick Cadillac Chevrolet Chrysler Dodge Eagle Ford Geo GMC Honda Hyundai Infiniti Isuzu Jaguar Jeep Kia Land Rover Lexus Lincoln Mazda Mercedes Benz Mercury Mitsubishi Nissan Oldsmobile Plymouth Pontiac Porsche Saab Saturn Subaru Suzuki Toyota Volkswagen Volvo	Model
Number of Doors	Transmission Automatic Manual	Mileage 0 - 12,000 2,001 - 24,000 24,001 - 40,000 40,001 - 60,000 60,001 - 80,000 80,001 - 100,000 100,001 and above	Engine 4 cylinder 6 cylinder 8 cylinder diesel No preference
Exterior Color 1st choice 2nd choice 3rd choice	Interior Color 1st choice 2nd choice 3rd choice	Interior No preference leather fabric	Additional Comments

Purchase Plans
When do you plan to purchase the vehicle? Less than one week 7 - 30 days 31 - 60 days Greater than 60 days
Additional Comments

Trade-in Information Please complete the following information if you're interested in trading in a vehicle
Year	Make	Model
Mileage	Balanced Owed on vehicle
Air Conditioning Power Steering Power Windows Power Door Locks Telescoping Wheel Cruise Control AM/FM Stereo Cassette	Single Compact Disc Multi Compact Disc Premium Sound Integrated Phone Navigation System DVD System Dual Front Air Bags Front Side Air Bags	F&R Sife Air Bags ABS (4-wheel) Leather Dual power Seats Moon Roof Rear Spoiler Alloy Wheels Premium Wheels

Poor “Poor” condition means that the vehicle has severe mechanical and/or cosmetic defects and may be in questionable running condition. The vehicle may have problems that cannot be readily fixed such as a damaged frame or a rusted-through body. A vehicle with a branded title (salvage, flood, etc.) or unsubstantiated mileage should be considered “poor” because of potential problems and should be independently appraised to determine its value.

Fair “Fair” condition means that the vehicle probably has some mechanical or cosmetic defects, but is still in safe running condition. The paint, body and/or interior need work to be performed by a professional in order to be sold. The tires need to be replaced. There may be some repairable rust damage. The value of cars in this category may vary widely. A clean title history is assumed. Even after significant reconditioning this vehicle may not qualify for the Blue Book Suggested Retail value.

Good “Good” condition means that the vehicle is free of any major defects. The paint, body and interior have only minor (if any) blemishes, and there are no major mechanical problems. In states where rust is a problem, this should be very minimal, and a deduction should be made to correct it. The tires match and have substantial tread wear left. A clean title history is assumed. A "good" vehicle will need some reconditioning to be sold at retail; however major reconditioning should be deducted from the value. Most recent model cars owned by consumers fall into this category.

Excellent “Excellent” condition means that the vehicle looks great, is in excellent mechanical condition and needs no reconditioning. It should pass a smog inspection. The engine compartment should be clean, with no fluid leaks. The paint is glossy and the body and interior are free of any wear or visible defects. There is no rust. The tires are the proper size and match and are new or nearly new. A clean title history is assumed. This is an exceptional vehicle.