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VEHICLE PURCHASE/LEASE ORDER

* required

Congratulations on your decision to purchase/lease a vehicle using Vehicle Advantage. Submit this form only if you are ready to make a purchase/lease using Vehicle Advantage. We will be working for your company on your behalf. Please complete the information on this order form. After your order has been processed, your personal Vehicle Advisor will contact you within 24 business hours (weekdays). Please check your e-mail or voice mail for information regarding your order. Send this order only if you are prepared to purchase or lease a vehicle using the Vehicle Advantage service. If you have already entered into an agreement to purchase or lease a vehicle, we are not able to renegotiate for you.
Please note that this is a vehicle order for customers ready to buy or lease--we are not a quote service. If you have questions, please call 866-847-4395 or e mail us at info@vehicleadvantage.com.

* First Name:
  
* Last Name:
  
* City:
  
* State/Providence:
  
* Zip/Postal Code:
  
* Daytime Phone Number:
Your Email Address:
Verify Your Email Address:

Best time to call:
* Company Affiliation:
(Your Company, Association or Organization Name)
  
* Company Access or
Partner Code:
  
HR or Benefits Manager Name:
(if applicable)
  
HR or Benefits Manager Phone:
(if applicable)
  
HR or Benefits Manager Email:
(if applicable)
  

VEHICLE INFORMATION
Please tell us about the vehicle you are purchasing.
Be sure to ask about the savings on our factory warranty, low mileage 2006 vehicles.
Is this Vehicle:
   New   Used
* Year:
* Make:
* Model:
Options or special features:
MSRP / Sticker Price:
(if available-not mandatory)
$

DEALER INFORMATION

Have you contacted any dealers?
 Yes   No

TRADE-IN VEHICLE INFORMATION

Please complete the information below if it applies to your purchase or lease.
Year
Make
Model
Mileage
OTHER INFORMATION

* How soon do you anticipate purchasing/taking delivery?
Please Click the arrow and choose:
Please give me information on:
      Setting up a test drive
      Financing
      Leasing
      Extended Warranty
* How did you find out about the Vehicle Advantage Program: (check all that apply)
      Newsletter/Flyer
      HR Person
      Magazine
      Member/Co worker
      Fleet Administrator
      Union
      Other-explain
        
* This vehicle will mainly be used for:
      Family
      Business
Other Comments/Questions

Please click the "Review Order" button when you are ready to send your vehicle purchase information to a Vehicle Advisor. Please wait for confirmation receipt for your request.

Thank you!