Custom Car Request

WE WILL NOT RESPOND TO ANY ADVERTISING OR SOLICITATIONS VIA THIS FORM OR PHONE.
NOTE: PLEASE FILL IN COMPLETELY SO WE HAVE ALL PARAMETERS IN ORDER TO BE YOUR ADVOCATE.

Vehicle Information

Make: *
Model: *
Trim: *
(Ex. SE, Limited, LE)
MUST HAVE EQUIPMENT *
Important**
(ie: moon roof, leather, navigation, etc):
Type: *
New Cars
Used Cars
Year: *
Bodystyle Desired: *
Transmission: *
Mileage: *
Price Range: *
Exterior Color - Top 3 Choices: *
Interior Color - Top 2 Choices: *
Select a Search Period: *
Immediate
1-2 weeks
Other
CLEARLY OUTLINE YOUR BUDGET: *
(Please be specific as to lease or purchase,
length of term, cash investment, and payments desired.)

Contact Information

First Name: *
Last Name: *
Day Phone: *
Evening Phone: *
Email: *
How did you find us?: *

Trade-In Information

** required if you need help to value your trade in.

Help Value Your Trade In?*

Yes     No
Year: **
Make: **
Model: **
LIST ALL VALUED ADDED EQUIPMENT
Important
**
(ie: moon roof, leather, navigation, etc):
Transmission Type: **
Exterior Color: **
Interior Color: **
Body style: **
Vehicle Identification Number: **
Mileage: **
Lender if Applicable: **
Account Number if Applicable: **
Monthly Payment if applicable: **
Interior scale of 1 to 10: **
Please judge as if you were a buyer looking at this Vehicle
Exterior scale of 1 to 10: **
Please judge as if you were a buyer looking at this Vehicle
Has your car suffered frame damage
from a major accident?: **
Yes     No
Has your car had any other
major/minor work or repairs?: **
Yes     No
Does your car have any current damage?: **
Yes     No
Expected car value: **
Are you the original owner? **
Yes     No

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