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First Name
*
Last Name
*
Phone number
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Email
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City
*
Province
*
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
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Nunavut
Ontario
Prince Edward Island
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Car Make
*
Make *
Acura
Alfa-Romeo
Aston-Martin
Audi
BMW
Buick
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Chrysler
Citroen
Dodge
Fiat
Ford
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Infiniti
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Kia
KTM
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Land Rover
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Mazda
Mercedes-Benz
Mini
Mitsubishi
Nissan
Opel
Pontiac
Porsche
Ram
Smart
Subaru
Suzuki
Tesla
Toyota
Volkswagen
Volvo
Model
*
Year
*
Car Kilometres
*
VIN (Optional) *
When do you plan on selling your vehicle?
*
Immediately
I’m ready to sell my car in the next week.
Almost Ready
I’m planning to sell my car in the next 3 months
Not Ready Yet
I’m just curious about what my car is worth
Do you have a loan or lease on the car?
*
No
Loan
Lease
Loan Company
*
Remaining Balance
Monthly Payment
Months Remaining
Purchase option amount (at end of lease)
Does your vehicle have any exterior damage?
*
Minor cosmetic damage
Moderate cosmetic damage
Cracked bodywork
Rust
Chipped or cracked glass
No exterior damage
Does your vehicle have any interior damage?
*
Noticeable stains
Persistant odors
Rips or tears in seats
Damaged dashboard or interior panels
No interior damage
Has your vehicle been in any accidents?
*
No
Yes – under $3000
Yes – over $3000
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