VEHICLE QUOTE FORM
Phone: (631) 446-3234 E-Mail: Sales@automaxli.com www.automaxli.com
Name
*
First Name
Last Name
E-Mail
*
Phone Number
*
City, State, Zip of where vehicle will be registered
*
PREFERRED CONTACT METHOD
*
PHONE
E-MAIL
EITHER IS FINE WITH ME!
HOW DID YOU HEAR ABOUT US?
*
INTERNET SEARCH
MAILER/NEWSPAPER
REFERRED BY A FRIEND
SOCIAL MEDIA
OUR WEBSITE
OUR STOREFRONT
Other
INTERESTED IN...
Please complete all fields
VEHICLE TYPE
*
SUV
SEDAN
PICKUP
COUPE/CONVERTIBLE
I'M NOT SURE YET
PURCHASE TYPE
*
LEASE
FINANCE
CASH PURCHASE
I'M NOT SURE YET
MAKE
MODEL
TRIM LEVEL
EXTERIOR COLOR
INTERIOR COLOR
INTERIOR TYPE
*
LEATHER
CLOTH
NO PREFERENCE
SPECIFIC OPTIONS REQUESTED IN VEHICLE
IF LEASING: HOW MANY MILES/YEAR ARE NEEDED? (lower miles= lower monthly payment)
*
N/A
7,500
10,000
12,000
15,000
Other
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?
*
YES
NO
WHAT IS THE MAKE AND MODEL OF EACH LEASED VEHICLE IN YOUR HOUSEHOLD?
ARE YOU, OR ANY HOUSEHOLD MEMBER, A FIRST RESPONDER?
*
YES
NO
ARE YOU, OR ANY HOUSEHOLD MEMBER, AN EDUCATOR?
*
YES
NO
ARE YOU ACTIVE OR RETIRED MILITARY?
*
YES
NO
HAVE YOU GRADUATED COLLEGE WITHIN THE LAST 24 MONTHS?
*
YES
NO
IF ALL GOES WELL I AM WILLING TO MOVE FORWARD...
*
TODAY
WITHIN A WEEK
BEFORE THIS MONTH ENDS
LONGER
TRADE/LEASE RETURN
YEAR
MAKE
MODEL
VIN
CURRENT MILES
ARE YOU OVER YOUR ALLOWED LEASE MILES
NO
YES
N/A
CURRENT PAYMENT
# PAYMENTS REMAINING
BANK CURRENTLY FINANCED/LEASED WITH
PAYOFF AMOUNT
ANYTHING ELSE WE SHOULD KNOW?
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