ORDER FORM

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               Get Your Car Appraisal in 3 Easy Steps!!!!             

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SORRY BUT THE APPRAISAL FORM PAGE IS 

TEMPORARILY OUT OF ORDER

 

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Step One........Fill Out This Form

 

 

 

Please enter all the information asked for

 TERMS AND CONDITIONS

Please Read all of the Above Information and Click Either " I Agree" or "I Disagree" Below

Click here for a full page view of above

By clicking "I Agree" , you are saying you have read all of the above and are agreeing to it's content.

If "I Agree" is not selected, or if "I Disagree" is selected, your appraisal will not be processed.

I Agree             I Disagree

 CONTACT INFORMATION

Your Full Name: 

Street Address Line 1: 

Street Address Line 2: 

City:          State:     Zip Code: 

Phone:     Cell Phone:     Email: 

 VEHICLE INFORMATION

Please choose which best describes your vehicle............

Make of Vehicle:  

Model of Vehicle:     

Series:   

Year:       

Vehicle Identification Number (Serial Number) if unknown please type "unknown"

Body Style:    .....if other please specify here    

Color:  .....if two tone please specify other color 

Mileage:  .......Mileage Type:   

Number of Owners: 

 Please enter below any interesting facts about the vehicle's history..............

 DRIVETRAIN

Engine Displacement:...if unknown please type Unknown  

Fuel System: 

Number of Cylinders:    

Is Engine Original?:       

Transmission Type:     

Wheel Size (Height):    

Wheel Type: ..... if custom or other please specify 

Type of Wheel Cover (If applicable): 

Vehicle Driveable?:       

Condition of Exhaust: 

Please enter below any problems or outstanding features or additional comments about the drivetrain.......

 VEHICLE EXTERIOR

Overall Condition of Paint:  ....... Original Color?:      

Are Sheet Metal Panels Original to Car? : ... If some have been replaced please specify

Visible Rust:  ......................if yes please specify location: 

Overall Condition of Chrome and Brightwork:  .................Please list any items that need to be rechromed: 

Overall Condition of Glass:  ..............................Please list any glass that needs to be replaced: 

Overall Condition of Weatherstripping / Seals:  ..Please list any weatherstripping that need to be replaced: 

Condition of Vinyl Roof or Convertible Top (if applicable):

 Please enter below any problems or outstanding features or additional comments about the exterior not listed above.......

 VEHICLE INTERIOR

Is Interior Original?:    Material Type:   

Interior Color: 

Condition of Front Seat(s):    Condition of Rear Seat(s): 

Condition of Door Interior Trim:    Condition of Carpets or Mats: 

Condition of Headliner:    Condition of Instrument Panel: 

Is Steering Wheel Cracked?:    

Are Instruments and Gauges Readable?: 

Please enter below any problems or outstanding features or additional comments about the interior not listed above.......

       

 OPTIONAL EQUIPMENT

Please check all that apply..............

                                           Power Steering            Power Brakes           Power Windows           Power Door Locks           Power Seats           

                                            Air Conditioning           Cruise Control           Town and Country Radio           Sunroof or Moveable Roof    

Are All Options Working?      ........ Please list any options that are not working:   

Please enter below any optional equipment not listed above.......

Price Range you are Trying to insure car for (if applicable):   

 CHOOSE HOW YOU WANT YOUR APPRAISAL SENT TO YOU

Select only one.......................

                       Send my appraisal to the Email address I entered above

                       Send my appraisal to a different Email address (enter here)

                       Send my appraisal to the street address I listed above ......24 hour moneyback guarantee does not apply

                       Send my appraisal to a different street address (enter here) ......24 hour moneyback guarantee does not apply

 

Please Carefully Review the Information You Have Entered, Then Click the Submit Button.

After You Have Submitted This Information, You Will Be Prompted to Return to This Page.

You Can Then Proceed with the Steps Below.

Clicking Reset Will Erase The Information You Have Entered.

You Will Hear From Us Within 24 Hours of Receipt of Payment.

WARNING! 

Leaving This Page Before Clicking Submit Will Result in Erasure of All Entered Information.

Please Click Submit Before Proceeding to The Next Step !!!

 

  All Information Entered Above

      Above Information and Start Over

 

 

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Step Two........Upload Pictures

This step is not required, but recommended to insure a proper appraised value

Try to include at least 5 pictures, but no more than 10.

Using pictures with a lower resolution will speed up the Upload time.

Clicking the following link will open an Email to which you can attach your pictures.

Be sure to enter your name in the subject field.

  UPLOAD PICTURES HERE

 

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Step Three........Pay $24.95 Using One of These Methods

You Will Hear From Us Within 24 Hours of Receipt of Payment.

Method 1.... PayPal (Preferred)

Note: PayPal will show you are paying Jackson County Auto

 

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Method 2.... Visa or Mastercard

I Accept

I do Not Accept

Credit Card Type :

                                                                                                                       Credit Card Number : ---

                                                                                Expiration Date 2 digit month 2 digit year (example 05 / 06) : /

                                                                                                     Three digit security number from back of card :

                                                                                         Name Exactly as it Appears on Card :

                           Name you submitted on Order Form above (if different from name on credit card) :

                                                                                                                           Email Address: 

Click Submit Below to Securely Send your Credit Card Info 

     Your Credit Card Info

                                        the Above Credit Card Info and Start Over

Or you can call in your Credit Card Information to (812) 569-0744

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Method 3.... Mail in Payment

You can mail your payment to

PO Box

Prospect   KY  40059

Please include the name and Email address you supplied on the Order Form above with your check.

Also Send us an Email letting us know you sent a check. Please include you name in the subject field.

 

The 24 hour moneyback guarantee does not apply if you choose this method of payment

 

If you have a specific auction company you would like to search the auction results of, try typing " Auction Results for name of auction company" in the box below

 

 

 Try typing "Pictures of _____" or "Videos of _____" in the box below for images of your favorite collector car...

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Thank You For Your Purchase and for Using CollectorCarAppraising.com !!!!

 

We Welcome Your Comments!!!

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