MrAutoAuction.com

AUCTION NAME: September 8, 2010 Sale Cars *Proxy Bids End @ 10am

MAD BID LIVE
INSURANCE LOG-IN REGISTRATION FORM BUYERS / SELLERS FEES CONTACT US 2010 SALE DATES
*NEW RULES*

BROWSE BY:

CATEGORIES

REGISTRATION FORM
PRINT THIS FORM, FILL IT OUT AND FAX OR MAIL TO:

Mr Auto Disposal 1620 New Hope Rd. Waynesboro, VA 22980
PH# 540-941-8354 TOLL FREE# 866-941-8354 FAX# 540-941-8463.

To Whom It May Concern:

In order to register with Mr Auto Disposal you must provide us with the following:

Copy of your DEALERS LICENSE. (the one that hangs on the wall)

Copy of your DRIVERS LICENSE.

If you wish to PAY BY CHECK you will need a LETTER OF CREDIT from YOUR BANK stating that your account has been open for 6 months and is in good standing with NO RETURNED CHECKS. (We also accept CASH or CERTIFIED FUNDS)

There is a ONE TIME $50.00 REGISTRATION FEE. (May be added to first vehicle purchase)

Upon reciept of this form you will be added to our MAILING LIST and given a BIDDER NUMBER.

BUYER#__________
DEALER#_________
COMPANY NAME & ADDRESS:
__________________________
__________________________
__________________________
PHONE#__________________
FAX#_____________________
FEDERAL TAX#____________
CO BUYER(S)_____________

OWNERS NAME & ADDRESS:
__________________________
__________________________
__________________________
PHONE#___________________
SS#_______________________
STATE ISSUED______________

BANK NAME & ADDRESS:
____________________________
____________________________
____________________________
ACCOUNT#__________________
TYPE OF ACCT_______________

SIGNATURE:
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