Car Purchase Form

Binford Auto Wrecking

Vehicle Value Form
Vehicle year*
Vehicle Make*
Vehicle Model*
Vehicle Vin.*
Do you have the title?*

Yes, I have a titleNo, I do not have the title
Does the vehicle run and drive?*

YesNo
Is vehicle complete?*

YesNo
Check all that are present on vehicle.*

Catalytic ConverterTires/WheelsEngineTransmissionBatteryRadiator
Comments/ Questions
Name*
Phone Number*
Please enter a valid phone number.
Email
example@example.com
We pick up vehicles in Western WA, let us know what city vehicle is located in.*
For immediate assistance call us at 253.852.1552 option 2 during regular business hours, otherwise we will contact you within 8 business hours.
Should be Empty:

Binford Auto Wrecking