700, boul. Curé-Labelle, Blainville (Québec) J7C 2J6 Tel.: 1 866 953-3227

Trade-In Vehicle Appraisal

INFORMATION ON YOUR TRADE-IN

*Required fields

*Make :

*Model :

Trim :

(p. ex. : « SE »)

*Year :

*Mileage :

Condition :

*Damaged :

If yes,
repairs cost :

(digits only!)

*Color ext. :

Color int. :

Price :

(digits only!)

Doors :

Drive train :

Transmission

Type :

Gears :

Engine

Cylinders :

Size (liters) :

Power source :

Compression :

VEHICLE OPTIONS
Fully Equipped	Adjustable Mirrors (electric)	Adjustable Mirrors (manual)
Air Conditioning	Automatic Climate Control	Cruise Control
Intermittent Windshield Wipers	Power Doors	Power Steering
Power Windows	Remote Fuel-Filler Door Release	Remote Trunk Door Release
Tilt Steering	ABS Brakes	Four-Wheel Drive
Driver Airbag	Passenger Airbag	Side Airbags
AM/FM Radio	Tape Deck	CD Player
Cellular Phone	Clock	Sun Roof
Tinted Windows	Bucket Seats	Captain's Chair
Heated Seat	Leather Interior	Power Seat(s)
Rear-Folding Seats	Alarm System	Kill Switch
Colour Matched Bumpers	Fog Lights	Hood Protector
Mags	Protective Side Mouldings	Spoiler
Wheel Covers	Bed Liner	Extended Cab
Fiberglass Box	Long Box	Rear Step Bumper
Other options :

PERSONAL INFORMATION

*Name:

*City:

*Postal Code:

(format: H0H 0H0)

*Telephone:
(fill in at least one)

Day:
Evening:

*Email:

ADDITIONAL COMMENTS

YES! I want to receive information on future contests, surveys, special promotions and new content from "Honda de Blainville".

(Only click once!)