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BUYER INFORMATION First Name: Last Name: City / Town: Province / State: Postal / Zip Code: Home Phone: () - Work Phone: () - ext Mobile Phone: () - Fax: () - Email: VEHICLE INFORMATION Please use the following section to tell us about the vehicle you are looking for. Vehicle Type: Please Choose Any Car Truck Van Minivan SUV RV Motorcycle Classic Collector Exotic Desired Price Range: Please Choose Any $0 - 3,000 $3,000 - 5,000 $5,000 - 10,000 $10,000 - 15,000 $15,000 - 20,000 $20,000 - 25,000 $25,000 - 30,000 $30,000 - 35,000 $35,000 - 40,000 $40,000 - 50,000 Over $50,000 Manufacturer/Make: Please Choose Other Any Acura Alfa-Romeo AMC AM General Aston Martin Asuna Auburn Audi Austin-Healey Avanti Bentley Bertone Bitter Bond Borgward BMW Bricklin Bradley Buell Bugatti Buick Cadillac Checker Chevrolet Chrysler Citroen Crosley Daewoo Daihatsu Daimler Datsun DeLorean DeSoto De Tomaso Dodge Ducati Eagle Edsel Excalibur Ferrari Fiat Ford Gazelle Geo GMC Graham Harley-Davidson Henry J Hillman Hino Honda Hudson Hyundai Infiniti Innocenti International Iso Isuzu Iveco Jaguar Jeep Jensen Jensen-Healey Kaiser Kawasaki Kellson KIA Lada Laforza Lamborghini Lancia Land Rover Lexus Lincoln Lotus Marcos Marmon Maserati Mazda Mercedes-Benz Mercury Merkur MG Mitsubishi Morgan Morris Nash Nissan Oldsmobile Peugot Plymouth Pontiac Porsche Renault Rolls Royce Saab Saturn Scimitar Shelby American Simca Skoda Sterling Studebaker Stutz Subaru Sunbeam Suzuki Toyota Triumph Tucker TVR Vauxhall Willys Volkswagen Volvo Yamaha Yugo Zimmer Make if not listed: Model: Year: From Year Any 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 To Year Any 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 Transmission: Please Choose Any Any Manual 3 Speed Manual 4 Speed Manual 5 Speed Manual 6 Speed Manual Automatic Automatic w/Sequential Drive Train: Please Choose Any FWD RWD AWD 4WD Doors: Please Choose Any 2 3 4 2+ Hatchback 4+ Hatchback Fuel Type: Please Choose Any Gas Diesel Propane Electric Preferred Payment Method: Please Choose Cash Finance Lease Monthly Budget Payment: Downpayment Amount (If any): Do you have a vehicle to Trade In? Yes No - Proceed to "Other Information" TRADE IN INFORMATION Year of Trade In Vehicle: Please Choose Any 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 Make of Trade In Vehicle: Please Choose Other Any Acura Alfa-Romeo AMC AM General Aston Martin Asuna Auburn Audi Austin-Healey Avanti Bentley Bertone Bitter Bond Borgward BMW Bricklin Bradley Buell Bugatti Buick Cadillac Checker Chevrolet Chrysler Citroen Crosley Daewoo Daihatsu Daimler Datsun DeLorean DeSoto De Tomaso Dodge Ducati Eagle Edsel Excalibur Ferrari Fiat Ford Gazelle Geo GMC Graham Harley-Davidson Henry J Hillman Hino Honda Hudson Hyundai Infiniti Innocenti International Iso Isuzu Iveco Jaguar Jeep Jensen Jensen-Healey Kaiser Kawasaki Kellson KIA Lada Laforza Lamborghini Lancia Land Rover Lexus Lincoln Lotus Marcos Marmon Maserati Mazda Mercedes-Benz Mercury Merkur MG Mitsubishi Morgan Morris Nash Nissan Oldsmobile Peugot Plymouth Pontiac Porsche Renault Rolls Royce Saab Saturn Scimitar Shelby American Simca Skoda Sterling Studebaker Stutz Subaru Sunbeam Suzuki Toyota Triumph Tucker TVR Vauxhall Willys Volkswagen Volvo Yamaha Yugo Zimmer Make of Trade if not listed: Model of Trade In Vehicle: Current mileage of Trade In Vehicle: KMs Miles OTHER INFORMATION How soon do you plan to purchase? Please Choose Immediately 1 to 2 weeks Next 30 days Over 30 days Additional comments or requests: