If you would prefer to submit via fax or mail, please CLICK HERE to download and print this form. Upon submission of the following form, a representative will contact you regarding your entry to establish your sale number and review all appropriate fees.

Seller Information

Vehicle Information

Engine

Transmission

Options

Mileage

AUCTION COMPANY IS NO RESPONSIBLE FOR ACTUAL MILEAGE.

Please enter the price at which you wish to protect your car. If no reserve, indicate clearly by writing ‘NO RESERVE’ in the dollar amount space. Reserve price may be lowered at any time by seller. Reserved price CAN NOT be raised.

Reserve Price

Description of Vehicle