Vehicle Questionnaire … Please enable JavaScript in your browser to complete this form.Full Name or Company Name *Email *Phone NumberZip CodeVehicle Make *Model *Mileage *Trim Level (SXT, Touring, Limited, etc.)Year *VIN *Description of the Conversion: Please check all that Apply. (If this is a Full Size Van or a Pickup Truck Disregard this section. You will be emailed different options by the appraiser.) Rear Entry Lowered FloorSide Entry Lowered FloorEntrance Height under the ramp door minimum of 55” on a side entry minimum of 54” on a rear entryPower RampPower LiftKneel System (the back corner comes down as the ramp lowers to create a lower ramp angle)Hard Rubber FloorSteps Flares Outside Front Driver and Passenger DoorThe van has a Removable Drivers Seat or a Transfer Seat has been installed in the front driver position.Removable Passenger SeatSelf-Driving or Added Equipment, Describe BelowDescribe Self-Driving and/or Added Equipment if checked aboveYou will be sent an appraisal which indicates either the Buyers Pricing or the Sellers Pricing. An added charge of $5 will be assessed for both. Indicate the appraisal(s) you would like:Buyers Appraisal showing Retail and Private Party AppraisalsSellers Appraisal showing Wholesale, Trade In and Private PartyBoth Buyers and Sellers Appraisal – Additional $5 for bothSubmit