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Customer Intake Form

Auto Specialist: Kerry Patterson

Email: kerryp@consumerautoxchange.com

Phone: 770-355-9915

"*" indicates required fields

Seller's Information

Name*

Seller's Address

Address*

Vehicle Information

Drop files here or
Max. file size: 100 MB.
    Phone/Tablet Instructions: Select the "Take a Photo/Upload Files" button above. Then you can either take a picture or select an image from your photos.
    Desktop Instructions: Scan the document or take a picture of it, and save it to your computer. Then, you can either drag the file over to the box above, or click "Upload Files" to select your image.
    Drop files here or
    Max. file size: 100 MB.
      Phone/Tablet Instructions: Select the "Take a Photo/Upload Files" button above. Then you can either take a picture or select an image from your photos. Desktop Instructions: Scan the document or take a picture of it, and save it to your computer. Then, you can either drag the file over to the box above, or click "Upload Files" to select your image.