Deragon Ford
317, rue Principale, Cowansville (Québec)  J2K 1J4

Tel.: 1 866 757-6631 Fax: 450 263-9271 Deragon Auto Crédit: 1 866 549-9696

Trade-In Vehicle Appraisal

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Trade-in information

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Model:	*
Trim:		(ex.: « SE »)
Year:	*
Kilometres:	*	km
Condition:		Please make a selection Extra clean Clean Average Rough
Damaged:	*	Please make a selection Yes No I don't know
		Repairs cost: $
Exterior colour:	*	Please make a selection Beige Black Blue Bronze Brown Burgundy Cranberry Dark Blue Dark Green Gold Green Grey Maroon Mauve Orange Purple Red Rust Silver Teal Turquoise White Yellow Other / I don't know
Interior colour:		Please make a selection Beige Black Blue Bronze Brown Burgundy Cranberry Dark Blue Dark Green Gold Green Grey Maroon Mauve Orange Purple Red Rust Silver Teal Turquoise White Yellow Other / I don't know
Price:		$
Doors:		Please make a selection 2 3 4 5 6 Other / I don't know
Drive train:		Please make a selection 4X4 Rear wheel drive Front wheel drive All wheel drive Other / I don't know
Transmission
Type:		Please make a selection Automatic Automatic w/ manual mode Continuous variable Manual Sequential Other / I don't know
Gears:		Please make a selection 3 speed 4 speed 5 speed 6 speed 7 speed Other / I don't know
Engine
Cylinders:		Please make a selection 1 cyl. 10 cyl. 11 cyl. 12 cyl. 16 cyl. 2 cyl. 3 cyl. 4 cyl. 5 cyl. 6 cyl. 7 cyl. 8 cyl. 9 cyl. Bi-rotor H4 H6 I3 I4 I5 I6 Rotary Tri-rotor V10 V12 V6 V8 VR5 VR6 W12 W8 Other / I don't know
Size (litres):		Please make a selection 1.0 L 1.1 L 1.2 L 1.3 L 1.4 L 1.5 L 1.6 L 1.7 L 1.8 L 1.9 L 2.0 L 2.1 L 2.2 L 2.3 L 2.4 L 2.5 L 2.6 L 2.7 L 2.8 L 2.9 L 3.0 L 3.1 L 3.2 L 3.3 L 3.4 L 3.5 L 3.6 L 3.7 L 3.8 L 3.9 L 4.0 L 4.1 L 4.2 L 4.3 L 4.4 L 4.5 L 4.6 L 4.7 L 4.8 L 4.9 L 5.0 L 5.1 L 5.2 L 5.3 L 5.4 L 5.5 L 5.6 L 5.7 L 5.8 L 5.9 L 6.0 L 6.1 L 6.2 L 6.3 L 6.4 L 6.5 L 6.6 L 6.7 L 6.8 L 6.9 L 7.0 L 7.1 L 7.2 L 7.3 L 7.4 L 7.5 L 7.6 L 7.7 L 7.8 L 7.9 L 8.0 L Other / I don't know
Power source:		Please make a selection Diesel Electric Ethanol Hybrid Leaded Natural Premium unleaded Propane Unleaded Other / I don't know
Compression:		Please make a selection Normally aspirated Supercharged Turbo Twin-turbo Other / I don't know

Vehicle options

Fully Equipped	Adjustable Mirrors (electric)	Adjustable Mirrors (manual)
Air Conditioning	Automatic Climate Control	Cruise Control
Intermittent Windshield Wipers	Power Doors	Power Steering
Power Windows	Remote Fuel-Filler Door Release	Remote Trunk Door Release
Tilt Steering	ABS Brakes	Four-Wheel Drive
Driver Airbag	Passenger Airbag	Side Airbags
AM/FM Radio	Tape Deck	CD Player
Cellular Phone	Clock	Sun Roof
Tinted Windows	Bucket Seats	Captain's Chair
Heated Seat	Leather Interior	Power Seat(s)
Rear-Folding Seats	Alarm System	Kill Switch
Colour Matched Bumpers	Fog Lights	Hood Protector
Mags	Protective Side Mouldings	Spoiler
Wheel Covers	Bed Liner	Extended Cab
Fiberglass Box	Long Box	Rear Step Bumper
Other options :

Personal information

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First name:	*
Last name:	*
City:	*
Postal code:	*	(format : A9A 9A9)
Telephone: (fill in at least one)	*	Day :    - Night :    -
E-mail :	*

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Deragon Ford - 317, rue Principale, Cowansville (Québec)  J2K 1J4 - Tel.: 1 866 757-6631 - Fax: 450 263-9271
Cowansville, Eastern Townships

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