ANA VEHICLE QUOTE FORM

VEHICLE QUOTE FORM

www.automaxli.com
Name*

First NameLast Name
E-Mail*
Phone Number*
Address*

Street Address

Street Address Line 2

CityState

Zip Code
PREFERRED CONTACT METHOD*

PHONEE-MAILEITHER IS FINE WITH ME!
HOW DID YOU HEAR ABOUT US?*

RADIOE-MAIL/MAILER/NEWSPAPERREFERRED BY A FRIENDSOCIAL MEDIA POSTINTERNET SEARCHOUR WEBSITEOUR STOREFRONTI'M A CURRENT CLIENTOther
INTERESTED IN...

Please complete all fields
VEHICLE TYPE*

SUVSEDANPICKUPCOUPE/CONVERTIBLECommercial Vehicle
PURCHASE TYPE*

LEASEFINANCECASH PURCHASEI'M NOT SURE YET
MAKE*
MODEL*
TRIM LEVEL
EXTERIOR COLOR
INTERIOR COLOR
INTERIOR TYPE*

LEATHERCLOTHNO PREFERENCE
MUST HAVES(Check all the apply)*

Third RowSecond Row Captain ChairsSunroofAWD/4x4LeatherRear EntertainmentHeated Front SeatsRemote StartTow PackageNo Must Haves. I’m flexible with equipment
SPECIFIC OPTIONS/TRIM/EQUIPMENT REQUESTED IN NEW VEHICLE THAT MAY NOT BE LISTED ABOVE
IF LEASING: HOW MANY MILES/YEAR ARE NEEDED? (lower miles= lower monthly payment)*

N/A7,50010,00012,00015,000Other
MAXIMUM DOWN PAYMENT AVAILABLE (Inclusive of all taxes/fees)*
DESIRED MONTHLY PAYMENT OR PAYMENT RANGE*
ARE THERE CURRENTLY ANY LEASED VEHICLES REGISTERED TO YOUR HOUSEHOLD?*

YESNO
WHAT IS THE MAKE AND MODEL OF EACH VEHICLE REGISTERED TO YOUR HOUSEHOLD?*
Name of any dealerships visited and amount quoted? (This is important because it may disqualify you for certain brokerage discounts)
ARE YOU, OR ANY HOUSEHOLD MEMBER, A FIRST RESPONDER?*

YESNO
ARE YOU, OR ANY HOUSEHOLD MEMBER, AN EDUCATOR?*

YESNO
ARE YOU ACTIVE MILITARY?*

YESNO
HAVE YOU GRADUATED COLLEGE WITHIN THE LAST 24 MONTHS?*

YESNO
ARE YOU A COSTCO MEMBER?*

YESNO
EMPLOYER NAME (Many companies are affiliates of auto manufacturers and offer additional incentives)
IF ALL GOES WELL I AM WILLING TO MOVE FORWARD...*

TODAYWITHIN A WEEKBEFORE THIS MONTH ENDSLONGER
TRADE/LEASE RETURN

PLEASE COMPLETE ALL FIELDS
YEAR
MAKE
MODEL
VIN NUMBER
DO NOT LEAVE BLANK
EXTERIOR COLOR
INTERIOR COLOR
CURRENT MILES
My Vehicle is equipped with: (Check all that apply)

Cloth SeatingLeather/Leatherette SeatingSunroofNavigationAWD/4x4Alloy Wheels Silver WheelsAlloy Black/Grey WheelsRear Entertainment systemBlind Spot Warning systemAdaptive/Intelligent Cruise ControlTow HitchBackup CameraSecond Row Captain ChairsManual TransmissionOther
ARE YOU OVER YOUR ALLOWED LEASE MILES
CURRENT MONTHLY PAYMENT
# OF PAYMENTS REMAINING
BANK CURRENTLY FINANCED/LEASED WITH
ACCOUNT NUMBER
Last 4 of Account Holder SSN
PAYOFF AMOUNT
PLEASE DECSRIBE ANY COSMETIC OR MECHANICAL ISSUES WITH THE VEHICLE?
Should be Empty:

VEHICLE QUOTE FORM

INTERESTED IN...

TRADE/LEASE RETURN