Section 1 - Personal Information
1. Name
*
First Name
Last Name
Suffix
2. Address
*
Street Address
Street Address Line 2
City
State
Zip Code
3. Phone Number
*
Format: (000) 000-0000.
4. Email
*
Confirmation Email
example@example.com
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Section 2 - Qualifications
1. Have you test drove your desired new vehicle?
*
Yes
No
2. Do you know exactly, without a doubt, what vehicle you would like to purchase or lease, including, but not limited to, all options and Bandit Extras you would like included?
*
Yes
No
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Section 3 - Beat Your Offer Service
1. Do you have an offer you would like the Bandits to beat?
*
Please Select
Yes
No
2. Please upload a copy of the written dealer quote (including vehicle sales price or lease terms and all fees and taxes).
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
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Section 4 - New Vehicle Information
Please provide information related to the purchase or lease of your new vehicle.
1. Vehicle Year
*
Please Select
2025
2026
2027
2. Vehicle Make and Model
*
2. Vehicle Make and Model
*
a. Other Vehicle Make
*
b. Other Vehicle Model
*
3. Vehicle Trim Level
*
4. Vehicle Features
Rows
Must Have
Could Have
Leather Seats
Sunroof/Moonroof
Front Heated Seats
Back Heated Seats
Backup Camera
Navigation System
Bluetooth
Remote Start
Blind Spot Monitoring
Third Row Seating
Apple CarPlay/Android Auto
Lane Assist
Adaptive Cruise Control
Automatic Parallel Parking
Adaptive Headlights
Automatic Emergency Breaking
Must Have Long Text
Could Have Long Text
Must Have Multiple-Choice
Leather Seats
Sunroof/Moonroof
Front Heated Seats
Back Heated Seats
Backup Camera
Navigation System
Bluetooth
Remote Start
Blind Spot Monitoring
Third Row Seating
Apple CarPlay/Android Auto
Lane Assist
Adaptive Cruise Control
Automatic Parallel Parking
Adaptive Headlights
Automatic Emergency Breaking
Could Have Multiple-Choice
Leather Seats
Sunroof/Moonroof
Front Heated Seats
Back Heated Seats
Backup Camera
Navigation System
Bluetooth
Remote Start
Blind Spot Monitoring
Third Row Seating
Apple CarPlay/Android Auto
Lane Assist
Adaptive Cruise Control
Automatic Parallel Parking
Adaptive Headlights
Automatic Emergency Breaking
5. Other Vehicle Features
Please notate whether “must” or “could” have feature.
6. Vehicle Interior/Exterior Colors
*
Rows
First Choice
Second Choice
Interior Color
Exterior Color
7. Would you like the Bandits to negotiate a purchase or lease for you?
*
Purchase
Lease
a. What would you like your annual mileage limit to be?
*
This is the maximum number of miles you can put on the vehicle before you begin paying a penalty.
b. What is your preferred length of lease term (in months)?
*
7. Is your offer for a purchase or a lease?
*
Purchase
Lease
a. Will you be financing (all or some) or paying cash for the vehicle?
*
Financing
Cash
b. How much will you be putting down as a down payment?
*
c. Do you already have a financing commitment from a lender?
*
Yes
No
d. Please upload your lender's financing commitment letter.
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
a. What is the annual mileage limit on your offer?
*
This is the maximum number of miles you can put on the vehicle before you begin paying a penalty.
b. What is the length of lease term (in months) of your offer?
*
c. What is the maximum amount you would like to put down as a down payment?
*
d. What is the down payment requirement of your offer?
*
8. Would you prefer to pick up the vehicle at the dealership or have the vehicle delivered to you at your home, if possible?
*
Pick up
Delivery
a. If you had to pick up the vehicle, how many miles would you be willing to travel?
*
a. How many miles would you be willing to travel to pick up your vehicle?
*
9. Do you need a new tag or will you be transferring a tag?
*
New
Transfer
10. What is the soonest you can take delivery of your vehicle?
*
Are you military, first responder, or a recent college grad (within 2 years)?
*
Military
First Responder
College Grad
None
Please list the year, make, and model of all vehicles registered in the same household.
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Section 5 - Trade-in
1. Do you have a trade-in that you would like the Bandits to negotiate on your behalf?
*
Yes
No
1. Does your offer include a trade-in?
*
Yes
No
2. VIN Number
*
3. Year
*
Please Select
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
4. Make and Model
*
a. Other Make
*
b. Other Model
*
5. Trim Level
*
6. Exterior Color
*
Please Select
Black
Blue
Brown
Gray
Green
Purple
Red
Silver
White
Yellow
Other
a. Other Exterior Color
*
7. Interior Color
*
Please Select
Beige
Black
Blue
Brown
Gray
Ivory
Red
Taupe
White
Other
a. Other Interior Color
*
8. Transmission
*
Please Select
Automatic
Manual
9. Features
*
Rows
Features
Bluetooth Technology
Parking Sensors
Running Boards
Satellite Radio Ready
ABS Brakes
Air Conditioning
Alloy Wheels
AM/FM Stereo
Auxiliary Audio Input
CD Audio
Cruise Control
Front Seat Heaters
Leather Seats
Overhead Airbags
Power Locks
Power Mirrors
Power Seat(s)
Power Windows
Rear View Camera
Side Airbags
Sunroof(s)
Tow Hitch
Transaction Control
10. Other Features
Make sure to list all features.
11. Number of Miles
*
12. Drive
*
Please Select
2 Wheel
4 Wheel
AWD
4 Wheel/AWD
13. Condition
*
Excellent (Looks new and is in excellent mechanical condition. Has never had any paint or bodywork and does not need reconditioning. The engine is clean and free of leaks.)
Very Good (Minor cosmetic defects and is in excellent mechanical condition. Minor or no paint or bodywork, and requires minimal reconditioning. Engine is clean and free of leaks.)
Good (Some cosmetic repairable defects and is free of major mechanical problems. Paint and bodywork may require minor touch-ups. Engine may have minor leaks.)
Fair (Some cosmetic defects that require repairing and/or replacing. Paint and bodywork may require refinishing and repair. Engine has leaks and may require a tune up.)
14. Please upload the following 7 photos of your trade-in: (1) odometer, (2) exterior front, (3) exterior rear, (4) exterior left, (5) exterior right, (6) interior front seats, and (7) interior back seats.
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
15. Do you have a loan on your trade-in?
*
Yes
No
a. What is the loan's current payoff?
*
16. Has the trade-in ever been in an accident?
*
Yes
No
a. How many fender benders?
*
b. How many serious accidents?
*
17. Does the trade-in have any frame damage?
*
Yes
No
18. Does the trade-in have any flood damage?
*
Yes
No
19. Has the trade-in been smoked in?
*
Yes
No
20. Are there any mechanical issues or warning lights displayed on the dashboard? (Select all that apply.)
*
Yes, inoperable or has problems running
Yes, engine issues
Yes, transmission issues
Yes, other
No
a. Are any of these warning lights displayed on the dashboard? (select all that apply)
*
Check engine
4x4 needs service
ABS/Brakes
Other
b. Do any of the following apply? (Select all that apply.)
*
Issues with brakes
Issues with steering
Issues with suspension
Other major mechanical concerns
21. Has the odometer ever been broken or replaced?
*
Yes
No
22. Are there any panels in need of paint or body work?
*
Yes
No
a. How many?
*
23. Are any interior parts broken or inoperable?
*
Yes
No
a. How many?
*
24. Any major rust and/or hail damage? (Select all that apply.)
*
Yes, major rust damage
Yes, major hail damage
No
25. Are there any rips, tears, or stains in the interior?
*
Yes
No
a. How many?
*
26. Do any tires need to be replaced?
*
Yes
No
a. How many?
*
27. How many keys do you have?
*
Please Select
1
2
3
4
28. Does the vehicle have any aftermarket modifications? (Select all that apply.)
*
Yes, aftermarket suspension changes (lift/lowering kits, shock absorbers, etc.)
Yes, engine modifications
Yes, other
No
29. Are there any other issues with the vehicle? (Select all that apply.)
*
Yes, convertible top is broken or in need of repair
Yes, problems with the air conditioner
Yes, standard equipment is missing (wheels, 3rd row seat, etc.)
Yes, other
No
30. Anything else we should know about your trade-in?
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Section 6 - Bandit Extras
Warranty
1. Would you like the Bandits to negotiate a warranty on your behalf?
*
Yes
No
2. What type of warranty would you like the Bandits to negotiate for you?
*
Please specify type and terms (deductible, years, miles, etc.).
1. Does your offer include a warranty?
*
Yes
No
2. What type of warranty does your offer include?
*
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Additional Items
1. Please select any additional items you would like the Bandits to negotiate on your behalf. (Select all that apply.)
Pre-Paid Maintenance
GAP Coverage
Tire and Wheel Protection
Lease Protection
Emergency Assistance
Additional Item 1 (Please provide more details below.)
Additional Item 2 (Please provide more details below.)
Additional Item 3 (Please provide more details below.)
2. Please explain what additional item you would like the Bandits to negotiate.
*
Please include only one additional item.
3. Please explain what additional item you would like the Bandits to negotiate.
*
Please include only one additional item.
4. Please explain what additional item you would like the Bandits to negotiate.
*
Please include only one additional item.
1. Does your offer include any additional items?
*
Yes
No
2. How many additional items does your offer include?
*
Please Select
1
2
3
3. Please explain what additional item your offer includes.
*
Please include only one additional item.
4. Please explain what additional item your offer includes.
*
Please include only one additional item.
5. Please explain what additional item your offer includes.
*
Please include only one additional item.
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Anything else we should know?
Please provide anything else you would like us to know about your desired new car or any Bandit Extras.
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Section 6 - Service Details
*
The information I provided is accurate and complete. I acknowledge that any Bandit Commissions or fees shall be nonrefundable if a Bandit commences negotiations based on inaccurate information provided in the application or if services are canceled.
Please verify that you are human
*
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Clear All Questions
B. Type of Service - Save with the Bandits Service
B. Type of Service - Beat Your Offer Service
C. Purchase
C. Lease
Vehicle Features Workaround
Vehicle Interior/Exterior Colors Workaround
Additional Items Workaround
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