November 21, 2008  

Cash for you CAR, Truck, SUV Or Van
 User Information

 Full Name:

  Email : 

 Phone: (area code first)

  Time to reach you: (PST)
 Vehicle Information

 Vehicle Year:

   Make:

  Model:
 

 Odometer Reading :
Miles		   Actual Mileage?
  Yes |  No		   VIN :

 (Vehicle Identification Number)
Body (dents, dings, rust, rot, damage)
Engine (running condition, burns oil, knocking)
Transmission/Clutch (slipping, hard shift, grinds)
 SALVAGE TITLE (Stamped on Title)
     Yes|  No      Applies to previously damaged vehicles an Insurance company determines cost of repair is more then vehicle value.
Additional Information :

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