“LIVE” On-Line Equipment Auction Equipment Listing Agreement

Company Name:
Mailing Address:
City:
State:
Zip:
 
Equipment Location --
Street Address:
City:
State:
Zip Code:
Loading Dock:



Can you load for shipment?



Pick up hours?
Other pick-up information:
 
Special instructions for inspector:

Date equipment available for inspection: (mm/dd/yyyy)

 
Contact Information --  
Name:
Phone #:
Cell #:
Alternative Contact Person:

 

Equipment Information --

1. Item #

Make

Model

Vin/Serial #

Year

Mileage / Hours

Lien (y/n)             Please list lien holder (include phone # and contact person)

2. Item #

Make

Model

Vin/Serial #

Year

Mileage / Hours
Lien (y/n)             Please list lien holder (include phone # and contact person)

3. Item #

Make

Model

Vin/Serial #

Year

Mileage / Hours
Lien (y/n)             Please list lien holder (include phone # and contact person)

4. Item #

Make

Model

Vin/Serial #

Year

Mileage / Hours
Lien (y/n)             Please list lien holder (include phone # and contact person)

5. Item #

Make

Model

Vin/Serial #

Year

Mileage / Hours
Lien (y/n)             Please list lien holder (include phone # and contact person)

6. Item #

Make

Model

Vin/Serial #

Year

Mileage / Hours
Lien (y/n)             Please list lien holder (include phone # and contact person)

 

Post Sale Payment Instructions --
How would you like to receive payment? Electronic Transfer     Check
Make Check Payable To:
Mailing Street Address:
City:
State:
Zip Code:

Bank Name (if applicable):

Bank Location (City, State):

ABA Routing # (Required for transfer):

Bank Account #  (Required for transfer):


Enter security code		 Security Code
 

>> Click here to download the Auction Agreement (required to complete your request)

Print, sign, and return the form to:

Woodruff Enterprises Inc.
4815 Urbana Road
Springfield, OH  45502

OR fax to: (937) 399-9309