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MAIL TO:
The Collector Car Network 1345 E. Chandler Blvd. Suite 101 Phoenix, AZ 85048 |
FAX TO:
1-480-285-1611
24 hours a day, 7 days a week |
CALL US:
1-480-285-1600
8:30 AM to 5:00 PM Pacific Monday through Friday |
PLEASE PRINT CLEARLY!
CUSTOMER INFORMATION ( DENOTES REQUIRED INFORMATION)
Full Name: _________________ Email Address: ___________________
Address: _________________ Phone Number: ___________________
_________________ FAX Number: ___________________
City/Town: _________________ Do you want your first name displayed in your listing? ___ Yes ___ No
State, ZIP: _________ _______ Do you want your phone # displayed in your listing? ___ Yes ___ No
VEHICLE INFORMATION ( DENOTES REQUIRED INFORMATION)
Year: ______ Make: _____________ Model: _______________
Category (select only one):
___ Coupe ___ Custom ___ Exotic/Foreign/Import ___ Fastback ___ Hatchback ___ Hot Rod ___ Kit Car ___ Limousine
___ Minivan ___ Motorcycle ___ Muscle/Pony/Performance ___ Project/Parts Vehicle ___ Racing ___ Replica
___ Restoration Project ___ Roadster ___ RV ___ Sedan ___ Station Wagon ___ Street Rod ___ SUV ___ Tractor
___ Truck ___ Van ___ Other (describe): ____________________________________________________
Trim Level: __________ (Example: RS, SS, Z28) Mileage: ____________ miles
VIN: ______________________ Price: _________________
Is this vehicle a convertible? __ Yes __ No
EXTERIOR DETAILS (OPTIONAL INFORMATION)
Color(s): ______________________
Accessories and Customizations (select all that apply):
___ Sunroof ___ Vinyl Roof ___ T-Top ___ Chopped ___ Shaved ___ Aftermarket Wheels ___ Other (see description)
Restoration History (select only one):
___ Unrestored ___ Partially Restored ___ Fully Restored
Overall Condition of Exterior (select only one):
___ Poor ___ Fair ___ Good ___ Very Good ___ Mint
INTERIOR DETAILS (OPTIONAL INFORMATION)
Color(s): ______________________
Seat Material (select only one):
___ Leather ___ Cloth ___ Velour ___ Vinyl
Accessories and Customizations (select all that apply):
___ AM Radio ___ AM/FM Radio ___ 8-Track ___ Cassette ___ CD Player ___ Custom Stereo ___ Alarm ___ Tilt Wheel
___ Bucket Seats ___ Power Seats ___ Cruise Control ___ Air Conditioning ___ Tinted Windows ___ Power Brakes
___ Power Locks ___ Power Windows ___ Power Steering
Restoration History (select only one):
___ Unrestored ___ Partially Restored ___ Fully Restored
Overall Condition of Interior (select only one):
___ Poor ___ Fair ___ Good ___ Very Good ___ Mint
ENGINE DETAILS (OPTIONAL INFORMATION)
Engine Configuration (select only one):
___ Inline 4 ___ Flat 4 ___ V-4 ___ Inline 6 ___ Flat 6 ___ V-6 ___ V-8 ___ V-10 ___ V-12 ___ V-16 ___ Rotary/Wankel
Engine Size: __________________________
Features and Modifications (select all that apply):
___ Fuel Injection ___ Turbo ___ Stroked ___ Supercharger ___ Electronic Ignition ___ Ported ___ Blower ___ Bored
___ Crank ___ Other (see description)
Engine History (select only one):
___ Original ___ Rebuilt ___ Replaced
Engine Condition (select only one):
___ Running ___ Not Running
TRANSMISSION DETAILS (OPTIONAL INFORMATION)
Transmission Type (select only one):
___ Manual ___ Automatic
Drive Train (select only one):
___ Front-Wheel Drive ___ Rear-Wheel Drive ___ Part-Time 4WD ___ Full-Time 4WD
DESCRIPTION (attach an additional page if necessary)
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PHOTOGRAPHS (OPTIONAL)
You
may enclose up to 50 photos. All photos will become the property of
ClassicCars.com and
cannot be returned. Please be sure to write “DO NOT BEND”
on the envelope.
LISTING UPGRADES
Featured Listing Upgrade
With a Featured Listing Upgrade, your listing appears in rotation on the
ClassicCars.com home page, at the top of search results with a distinctive
emblem, and on the Featured Vehicle Page.
One Week Featured Listing $24.99 __ Select this upgrade
Four Weeks Featured Listing (BEST VALUE!) $44.99 __ Select this upgrade
PAYMENT INFORMATION
|
ClassicCars.com Vehicle Listing |
$59.99 |
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Upgrades |
$ |
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TOTAL DUE |
$ |
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TOTAL PAYMENT ENCLOSED |
$ |
Features and Modifications (select all that apply):
___ Visa ___ MasterCard ___ Discover ___ American Express ___ Check or Money Order (payable to Collector Car Network)
Card Number: _____________________________________ Expires: _____________________
Signature: ________________________________________ Today's Date: ________________
Need assistance? Call Customer Care at 1-480-285-1600 between 8:30 AM and 5:00 PM Pacific, Monday through Friday.