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Please indicate which auction(s) you wish to register for:
 Name  
 Address
 City
 State
 Zip  - 
 Work Phone  -  - 
 Home Phone  -  - 
 Cell Phone  -  - 
 Fax  -  - 
 E-mail
 Firm   
 Name/Employer
 Position
 Address
 City
 State     Zip + 4
 Social Security #   *
 Date of Birth
 Driver's License #
 State
 Expiration Date
 Dealer #
 State
 Credit Card:   *
 Number   *
 Expiration Date    *

*  Credit Card can be phoned in or pay by check within 5 business days to complete your Registration.

Pay by check, select the option above and mail payment to:

Vicari Auction LLC.
2224 Barataria Blvd.
Marrero, La. 70072

(Please indicate which auction(s) you wish to register for on your check)
 Vehicle Payment Information
Method of Payment:  
    Cash  
    Cashier's Check  
    Letter of Guarantee*
    Other   (Subject to Approval)
 

Estimated amount desired for approval:  $

 
*A Letter of Guarantee is required if payment is to be made by
Company or Personal Check
I have read and accept the Buyer's Agreement.
Click here to view a PDF copy of the Buyer Agreement.

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