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Sell Your Wheelchair Van

For a free consultation, please fill out our vehicle assessment form below. M.C. Mobility Systems representative will contact you as soon as possible. For immediate assistance, call 1-800-951-6238 and ask for Mike Turovsky or Mark DiRosa.

Full Name: *
E-mail: *
Phone: *
Address Line 1:
Address Line 2:
City
State:
Zip Code:

1. Are you the original owner?
2. Do you have a free and clear title? Select 'No' if your vehicle is leased or financed.
3. What condition are your tires in?
4. Has anyone smoked in this vehicle or does it have other odors?
5. Are complete service records available?
6. Are 2 sets of keys and remotes (if applicable) available?
7. Are there any known mechanical issues with your vehicle? (If Yes, please explain)
8 Does your vehicle have any body damage and/or rust present? (If Yes, please explain)
9. To the best of your knowledge, has your vehicle ever been in an accident?
10. Current mileage on your vehicle:
11. Vin # to your vehicle:
*
12. Additional Information:
You may upload 3 pictures of your vehicle, however pictures exceeding 3MB will not be sent with your trade-in application. Uploading more than 3 pictures may cause the form to not be submitted. Only jpegs, png, or bmp files are allowed.
   

 





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