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Vehicle Order Information Form
Does this vehicle meet "Smart Way or Smart Way Elite"
requirements? If not, agency must fill out Vehicle Order
Justification Sheet.
Please print
out this page and complete all fields. Click
HERE to download form.
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REFERENCE NO.,
MAKE, MODEL NUMBER & NAME OF UNIT: |
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PREFERRED DEALER NAME: |
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DELIVERY LOCATION: |
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COLOR (Basics): |
Exterior: |
Interior: |
o
Cloth
o
Vinyl |
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Quantity |
Unit Cost |
Cost |
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BASE PRICE ( Reno, Carson
City or Las Vegas delivery) |
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$ |
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SPECIFY OPTIONS:
(description) |
Specify below |
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$ |
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$ |
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$ |
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$ |
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$ |
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$ |
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$ |
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$ |
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DELIVERY COST: ( if other
than Reno\Carson or Las Vegas) |
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$ |
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Total purchase price with
options |
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$ |
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DMV/TITLE/DRS FEE |
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$28.25 |
$ |
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GRAND TOTAL: |
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$
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Registered Owner:
Name & Address |
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Legal Owner:
Name & Address |
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County Vehicle is Based In: |
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Name
& Phone Number of the Person to contact when the vehicle
is ready for delivery: |
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