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Schedule Removal Form

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Email: junkautos1@yahoo.com
** Your Email:
COMMENTS:
Contacts Name
Home Phone
Cell Phone
Work Phone
Best Time To Call:
Vehicle Year
Vehicle Make
Vehicle Model
Vehicle Color
Vehicle Cond ( bad motor bad trans)
Any Flat Tires
Yes
No
Do you have keys?
Yes
No
Do you have the title?
Yes
No
Address (of vehicle)
City:
State:
PA
NJ
Zip:
Code Verification: