CASH PURCHASE

Bender Nissan
3000 Mabry Drive
Clovis, NM 88101
575-762-3701
bendernissan.com
In the event that you wish to purchase your vehicle from Bender Nissan with cash payment, fill out this form to initiate the process.
BUYER Print
 
PERSONAL INFORMATION
Name Prefix: 
First Name: 
Middle Name: 
Last Name: 
Name Suffix: 
Email Address: 
Day-time Phone: 
Evening Phone: 
Mobile Phone: 
Work Phone: 
Birth Date (dd/mm/yyyy): 
Social Security#: 
 
CASH AMOUNT:
$: 
Source: 
 
ADDRESS INFORMATION
Home Address: 
Home City: 
Home State: 
Home Zip Code: 
 
COMMENTS:
VEHICLE INFORMATION
 
VEHICLE WANTED
StockID: 
VIN: 
Type: 
Year: 
Make: 
Model: 
Trim: 
Color: 
Budget Amount $: 
Buy Time Frame: 
 
TRADE-IN VEHICLE
VIN: 
Year: 
Make: 
Model: 
Trim: 
Miles: 
Color: 
Finance Company: 
Monthly Payment $: 
OPT-IN REQUIRED: 
 
By submitting this form to Bender Nissan, 3000 Mabry Drive, Clovis, NM 88101, 575-762-3701, you certify that the information provided is complete and accurate to the best of your knowledge; and you authorize us to use this information for purposes pertaining to this submission.
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