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204-734-4577
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1550 Main St E
,
Swan River
,
MB
,
R0L 1Z0
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Step 1 of 4
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Vehicle Information
Year
*
Make
*
Model
*
Trim
Mileage (in KM)
*
Body Style
Transmission
*
Automatic
Manuel/Standard
Other
Drive Train
Front Wheel Drive
Rear Wheel Drive
All Wheel Drive
Fuel Type
Gas
Diesel
Hybrid/Electric
Other
Condition
*
Excellent
Good
Fair
Poor
VIN
Color
Vehicle Condition
Body
10 - Excellent
9
8
7
6
5 - Moderate
4
3
2
1 - Poor
Tires
10 - Excellent
9
8
7
6
5 - Moderate
4
3
2
1 - Poor
Transmission
10 - Excellent
9
8
7
6
5 - Moderate
4
3
2
1 - Poor
Interior
10 - Excellent
9
8
7
6
5 - Moderate
4
3
2
1 - Poor
Glass
10 - Excellent
9
8
7
6
5 - Moderate
4
3
2
1 - Poor
Options
Power Windows
Power Seat(s)
Air Conditioning
Alloy Wheels
Cruise Control
Power Door Locks
AM/FM Radio
CD Changer
DVD/Entertainment
Sunroof
Leather Seats
Has your vehicle been involved in any accidents or had any insurance claims against it?
No
Yes
Please enter the amount of insurance claim
*
Has your vehicle been registered in USA?
No
Yes
If yes which State?
*
Has your vehicle been registered in another province?
No
Yes
If yes which province?
*
Additional Information
Contact Information
Name
*
Email
*
Phone
*
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