Name
Buyer OR Seller	Buyer:    Seller:
Address
Address 2 (if needed)
City
State
Zip
Phone Number
Cell Number
Fax Number
E-Mail Address
Year
Make
Model
Vin #
Transmission
Exterior Color
Interior Color
Engine Size
Matching Numbers?	Yes, authentic-original #s matching drive train No, non-original-incorrect drive train
Selling (Reserve) Price	(Please be conservative here)
Mileage	Federal Odometer Statements will be used on all successful transactions. All vehicles 10 years of age and older are marked "Exempt" in the State of Nevada.
Vehicle Description	Include history, special options, awards, restoration details etc (* Unless otherwise stated, assume vehicles to be miles non-actual, and non-matching numbers). All Vehicles Are Sold- AS IS, Where is and without warranty.
Car Photo	(max file size, 1.0 MB)
Lien Clearance: Your signature below verify's that your vehicle is free and clear of any liens or encumbrance. You are the legal owner of the vehicle, and the vehicle has a free and marketable title. VIN # Verification: Your signature below also verify's that you have checked the VIN # (Vehicle Identification Number) on your title matches the VIN on your vehicle, before the vehicle is transported. We cannot accept your vehicle for sale if the VIN on the title is different from the VIN on the vehicle. I also understand that if there is a discrepancy in the VIN on the vehicle verse the VIN on the title, the vehicle will not be eligible for sale. SALVAGE TITLES: Salvage Title, Flood Damage, Reconstructed Vehicles, Rebuilt Vehicles, Re-creation or Clone Vehicles or any similar phrasing, including branded titles must be disclosed on all auction documents and a full disclosure must be announced on the auction block. This is the sole responsibility of the Seller. Any cost incurred by failure to disclose problem titles will solely be the responsibility of the seller. My signature below acknowledges that I have read and will comply with the aforementioned statement concerning branded or salvage titles. MSO’s are not allowed for sale at the auction either. It is the sole responsibility to of the legal vehicle owner to have insurance on the vehicle that enters the Las Vegas Motor Speedway and the Mopars at the Strip event. The event promoters, Las Vegas Motor Speedway, Event Sponsors, their agents or employees can not be held liable for any damage whatsoever to, your vehicle, or your belongings. Your failure to read or sign this release does not constitute a liability. Owners Signature:    Date: By selecting this checkbox you are legally signing this application and agree to the terms. Application Deadline: March 10th 2009 Questions: moparsatthestrip@hotmail.com