APPLICATION
Fax to: (540) 829-0056
Mail to: Mr. Ken G. Lee, P.O. Box 6708, Falls Church, VA 22046
Call: (540)829-2263
Circle one: For
Sale By Owner ($50) Dealership/Agency*
Sponsor ($99) Advertiser
($199)
Item Name:
_________________________ Your Name: ____________________
Dealership: __________________________________________
Date: ____________
Address: ______________________
City: ____________ State: ___ Zip: ______
Phone: __________________
E-mail: ________________ ID#: ______________
1.
Detail
Description (please print):
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
2.
Make
& Model: _______________________________________________
3.
Asking
Price? _________________________________________________
4.
Special
Features:
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
5.
Are you
currently advertising your item (how)? ____________________________________________________________
Terms & Conditions
By
signing below, I acknowledge that I have read and understand the terms and
conditions in which I have contracted this service (see attached documentation).
_________________________________
_______________________
Your
Signature
Today’s Date
*Volume discounts for dealer/agents.
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