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Greater Quad City Auto Auction
 
 
Registration Form
GQCAA REGISTRATION FORM 
Please also supply copies of the following required documents: 

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I UNDERSTAND THAT GQCAA DOES NOT HONOR PERSONAL CHECKS.
I UNDERSTAND THAT GQCAA WILL ONLY ACCEPT A CHECKING ACCOUNT IN THE NAME OF THE DEALERSHIP
I UNDERSTAND THAT GQCAA WILL ONLY ACCEPT ONE CHECKING ACCOUNT PER DEALERSHIP

Owner or Officer's initials here

   

ONLY LIST BELOW ALL OWNERS, PARTNERS & CORPORATE OFFICERS
 
 
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The undersigned hereby acknowledge that all information provided in this application including the.tequired documents is true. and authorizes Greater Quad City Auction to verily any representations contact any named parties and obiain consumer and business credit reports.

The undersigned herby appoints GQCAA 4015 78" Avenue, Milan, IL 61264, as my attorney-in-fact in all transactions in which I am the "transferee” (buyer) or “transferor" or seller of a motor vehicle that is subject to federal and state laws and regulations regarding odometer disclosure requirements to perform for me and in my name all acts and duties imposed upon transferee by said laws and regulations as amended modified and/or clarified from time to time or as affected be the lapse of Illinois' extension of time to bring its title document into compliance with federal requirements. 

I reserve the power to act on my own behalf and to revoke the power given in this insurument. I may revoke this instrument by delivering written notice of revocation to GQCAA.

The written revocation must be delivered by hand or sent by certified mail, return receipt requested to GQCAA. Any act or thing unlawfully done by my attorney-in-fact under this instrument shall be binding on me and on my heirs, assigns and legal representatives. This Power of Attorney shall be affected by my disability or incapacity or by lapse of time.
 
THIS DOCUMENT MUST BE SIGNED BY A CORPORATE OFFICER OR OWNER.

 
E-Signature

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After submitting the form, the PDF file will be available for download