Automobile Values:
A division of Bluewater Recreation, LLC
BBB Member
The information requested below will be used solely to "pre-qualify" your purchase of a boat from Platinum Image Motor Sports You will not be asked for your Social Security or Drivers License numbers at this time. This information is strictly confidential and will not be used for any solicitation or advertisements. We will not call your employer to verify employment. Once the information is received we will assign you to one of our Sales Professionals and they will call or email you with the results.
Contact Information
(*) required
First/Last Name:
(*)
Address:
City/State/Zip
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Phone:
(*)
Email:
(*)
Employer Information
Employer Name:
Position:
Address:
City/State/Zip
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Self Employed:
No
No
Years at Employer:
Under 1 Year
1 Year
1 Year +
2 Years
2 Years +
Income:
per
Week
Month
Year
Work Phone:
Credit Information
Check all boxes that apply:
Bankruptcy
Tax Lien
Divorce
Judgment
Foreclosure
Slow Pay
Collections
Repossession
Boat Information
Boat Type:
Any
Cruiser
Express Cruiser
Motor Yacht
High Performance
Fishing
Sailboat
Other
Boat Year:
1996-2001
1991-1995
1986-1990
1980-1985
Other
Make:
Model:
Down Payment:
$2,000
$3,000
$4,000
$5,000
$6,000
$7,000
$8,000
$9,000
$10,000
$10,000 +
Monthly Payment:
Other
$100-$200
$201-$250
$251-$300
$301-$350
$351-$400
$401-$450
$451-$500
$501-$550
$551-$600
$601-$700
$701-$800
$801-$900
$901-$1,000
$1,001-$1,100
$1,101-$1,200
$1,200 +
If you have contacted us before, please check which associate you have spoken with previously so we can direct this email to the right person.
1st Contact
Matt
Nick
Other
Found us:
-How did you find us-
Yacht Trader
Boat Trader Online
Boating Magazine
Search Engine
Referral
Other
Best way to contact:
Work-Home-Email
Home Phone
Work Phone
Email
Work Or Email
Home Or Email
Comments or Questions:
Privacy Policy & Copyright ©
2010 Platinum Image Motor Sports, All Rights Reserved.
PO Box 806148 St Clair Shores, MI 48080
Phone: (877) 420-7467 | Fax: (586) 791-2540 |
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