Dan Kruse Classics

Preliminary Entry Form

If you would prefer to submit via fax or mail, please click here to download and print this form. Upon submission of the following form, a representative will contact you regarding your entry to establish your sale number and review all appropriate fees.

Items marked with a * are required; the form will not submit unless they are filled in.

Auction you wish to enter:

Seller Information

Name *

Address *

City *

State *

Zip Code *

Home Number *

555-555-5555 Format

Cell Number

555-555-5555 Format

Work Number

555-555-5555 Format

Fax Number

555-555-5555 Format

Email Address *

Federal ID #

(if company)

Dealer License #

How did you hear about Dan Kruse Classics? *

Vehicle Information

Describe your vehicle fairly and accurately. This information will be used in advertising and at the auction block to describe your car.

Year

Make

Model

Body Style

Engine Cylinders

Cubic Inch

Horsepower

Transmission

Color Exterior

Color Interior

Serial Number

Matching Numbers ?

Yes
No

Amount of Lien

Lienholder

Lienholder Address

Lienholder City

Lienholder State

Lienholder Zip Code

Reserve Amount

Zero (0) for no reserve.

Detailed History

Submit

Your entry has been submitted.
Thank you for consigning your car to one of Dan Kruse's classic car auctions. A representative of Dan Kruse Classics will contact you regarding your entry to establish your sale number and review all appropriate fees.

Consign a Car