Fax Attention: Dealer Registration

Fax: 334-792-1575

We are requesting that you fill out the form below and return it to us.  This will avoid long delays in receiving your titles and checks.  Your cooperation is greatly appreciated!!

TITLES                                                                                                  CHECKS

______ Do Not Mail                                                                           __________ Do Not Mail

______ Regular Mail                                                                          __________ Regular Mail

______ FED X #_______________________                            __________ FED X # ________________

______ UPS-G   ________________________                          __________ UPS-G    ________________

***NOTE: Deanco Auto Auction will not be responsible for titles lost by the U.S. Mail!!!

***NOTE: The dealer’s A/R account will be  billed at the current U.S. Postal Services going rate for deliveries.

Dealer #: ______                                                

Dealership Name: ___________________________________________________________________

Mailing Address: ___________________________________________________________________

City, State, Zip: ____________________________________________________________________

Printed Name: _____________________________________________________________________

Signature: ________________________________________________________________________