RAMP Motorcycles

MOTORCYCLE TRADE-IN FORM

*Required Fields
*First Name:		*Last Name:
*Address:		*City:
*State:	*Zip:
Phone:
*E-Mail:		How did you hear about us?
		Other:
Motorcycle You're Interested In
	Vehicle Make: Vehicle Model:
	stk#	Do you have a motorcycle drivers license? Y N*
	*Will you be financing? Y N****
Your Vehicle Info
	Do you own a motorcycle? Y N If Yes, please fill out the fields below*
	Year (XXXX): Make: Model:
	Is there additional equipment installed on your bike?
	Y N if Yes, please list:
	When would you like to come in for a road test?
	Month: Day: Time (9:00am):
	How soon before you're ready to make this purchase?
	Within 1 week within 2 weeks within 1 month within 2 months within 3 months
Additional Comments:

¿Hable Español? Vea a nuestro encargada Liz Lopez-Loeb para servicio al cliente hoy
Comuniquese Ahora (631) 473-6013 Ext. 102

1595 Route 112
Port Jefferson Station, NY 11776
631.473.6013 Fax 631.473.2316

FREE PICKUP AND DELIVERY ANYWHERE ON LONG ISLAND FOR ALL OF OUR SERVICE CUSTOMERS

Sales Hours:
Monday CLOSED
Tuesday thru Friday 9:00 AM - 6:00 PM
Saturday 9:00 AM - 5:00 PM
Sunday CLOSED

Service Hours:
Tuesday - Saturday 9:00 AM - 5:00 PM
CLOSED SUNDAY AND MONDAY