Attention:
_______________________FAX #:____________ Pages:____
Auto Express
562 East Woolbright Rd., Suite 210
Boyton Beach, FLA, 33435
Toll Free: 1-800-237-7398 Fax: 561-292-3788
Pick Up
Information:
Name:____________________________ City
& State:___________________
Street
Address:__________________________________
Telephone Numbers: Home:____________Work:____________
EXT:_______
Cell:_____________ Alternate Contact
& Telephone:_____________________
..........................................................................................................................................................
Delivery
Information:
Name:_____________________________
City & State:__________________
Street
Address:___________________________________
Telephone Numbers: Home:____________
Work:___________ EXT:_______
Cell:______________ Alternate Contact
& Telephone:____________________
..........................................................................................................................................................
Vehicle
Information:
Year:_________ Model:_________________
Make:_______________
Last 8 digits of
VIN#_____________________
Other:___________________________________________________
..........................................................................................................................................................
Payment
Information:
All
payments MUST be in the form of an ‘Official Bank Cashier’s Check’, an ‘United
States Postal Money Order’,‘Western Union Wire
Transfer’ or ‘Cash’. NO PERSONAL OR CERTIFIED CHECKS WILL BE ACCEPTED. Deposit
must
Accompany
this Shipping Order or in the case of orders returned by FAX, payment must be
received in our office before this order is processed. ALL CANCELLED ORDERS
FORFEIT THE TOTAL AMOUNT OF THE LISTED DEPOSIT.
TOTAL
AMOUNT DUE:_____________ REQUIRED DEPOSIT:___________ BALANCE DUE:_________
..........................................................................................................................................................
AVAILABILITY:
You
must allow AT
LEAST a
7 day period for the pick up of the vehicle, from the first day that the
vehicle becomes available OR from the day that we have received BOTH the
shipping Order and the deposit in our office. We do not pick up vehicles on a
specific day, time, or location. In the following space please let us know when
the vehicle is available based on the information above:
..........................................................................................................................................................
This shipping order
is provided as a service only. Unless otherwise noted, all terms and conditions
are subject to the Uniform Bill of Lading which is issued at the point of pick
up by the Carrier and the Carrier assumes all responsibility and liability
therein stated.
Please see the
reverse side or second page of FAX for additional Terms and Conditions. By
signing and/or returning this Shipping Order, it is understood that all of the
information has been reviewed and accepted.
Please sign
and return to Auto Express:_______________________________________
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*When retuning by FAX - send this sheet only.** **Quote good for 30 days.**