Dan Kruse Classics

Preliminary Bidder's Registration Form

If you would prefer to submit via fax or mail, please click here to download printable form.

Items marked with a * are required; the form will not submit unless they are filled in.
Auction Information
Please indicate which auction(s) you wish to register for: *
Please indicate how you plan on bidding: *
Bidder Information
Name *
Address *
Address 2
City *
State *
State (if Other)
Zip Code *
Country *
Home Number *
 
Cell Number
 
Work Number *
 
Fax Number *

 
Email Address *
Firm Name/Employer
Position
Firm/Employer Address
Firm/Employer Address 2
Firm/Employer City
Firm/Employer State
State (if Other)
Firm/Employer Zip Code
Firm/Employer Country
Date of Birth

Drivers License #

Driver License Issuing State
Drivers License State (if Other)

Drivers License Country
Drivers License Expiration Date

Dealer State
Dealer State (if Other)

Dealer Country
How did you hear about Dan Kruse Classics? *
Vehicle Payment Information
Method of Payment *
I have read and accept the Buyer's Agreement. *
Click here to view a PDF copy of the Buyer Agreement.

 
 
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