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Jack's Used Auto Parts
Town Farm Lane
Billerica, MA 01862
Phone: 888-USE-JACK
Local: 978-667-6472
FAX: 978-663-2176
Email:
[email protected]
Junk Your Car Today!
Junking Your Car only takes a few minutes with the following online vehicle submission form!
Fill out the form below and representative will call you to arrange a pickup of your vehicle.
Personal Information
Title:
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Name (First/Last):
Address:
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Best time to call:
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7:00 AM
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E-Mail Address:
Vehicle Information
Year:
Make:
Model:
Mileage:
License Plate:
VIN#:
Running condition:
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Not Running
Runs
Runs & Drives
Do you have the title?:
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Yes
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Is title in donors name?:
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No
Is vehicle currently registered?:
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Yes
No
Do you have the keys?:
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Yes
No
Are the tires inflated?:
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Yes
No
Is vehicle intact?:
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Yes
No
How long has the vehicle been sitting?:
(days, months etc...)
Please explain any mechanical problems:
Please explain any exterior damage:
Please explain any interior damage:
Is vehicle location different from address?:
Yes
Please enter the vehicle address below:
Vehicle Address:
City:
State:
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AL
AK
AZ
AR
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
VT
VA
WA
WV
WI
WY
Zip:
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