Collector Consignment Form – Regina Auto Auction

Use the form below or contact Regina Auto Auction at raa@sasktel.net or 306.543.5777/1.800.463.2272

IF WE DO NOT CONTACT YOU TO CONFIRM RECEIPT OF YOUR FORM, PLEASE CONTACT US.

Step 1 of 2

VEHICLE DESCRIPTION

Vehicle identification number (VIN) *

Year of Vehicle *

Make (eg. Ford) *

Model (eg. Mustang) *

Body *

Colour *

Description *

Share any special features, details, anything of interest. Tell us what others should know so we can help you get top dollar for your vehicle.

Photo

Click or drag files to this area to upload. You can upload up to 2 files.

If you have a photo you would like attached to your declaration, please upload it here. (We will be requesting a high-resolution photograph of your vehicle for use in promotion and our event catalogue.)

RESERVE PRICE

I am placing the following reserve price on the above-listed vehicle:

SELLING UNRESERVED

By checking the box below, I authorize that the above-listed vehicle be sold with no reserve:

There is no reserve on this vehicle.

PICK-UP / DELIVERY TO AUCTION SITE

Vehicle transportation to 310 Arcola Avenue, Regina, SK sale site: *

I require pick-up
I will arrange for delivery/drop-off
I am still making arrangements

CONSIGNOR (SELLER) INFORMATION

Your Name *

First

Last

Driver's License *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Phone (cell/work/other) *

Email *

PROOF OF OWNERSHIP: Vehicle Registration OR Bill of Sale OR Affidavit *

Click or drag files to this area to upload. You can upload up to 3 files.

You must include one of the above to demonstrate ownership of the vehicle.

FINAL AUTHORIZATION, ACKNOWLEDGEMENT AND INSTRUCTION

By checking this box, I (seller) instruct the Auction to sell the vehicle described herein and indemnify and save harmless the Auction against all losses and damages sustained at the Auction as a result of any theft of items or the vehicle itself. Vehicles are left at owner's risk. I hereby state that all information is true, and I am the sole owner of the above mentioned vehicle(s). I acknowledge the release of all interests liens and encumbrances in the above-described vehicle. *

I am the seller, and I agree.