ADOT Auction Equipment List

Complete the form below to register and obtain a bidder number to participate in our next ADOT Public Auction. Please provide either "First and Last Name" OR "Company Name" to indicate how you want your registration record addressed; do not provide both. The information you provide for your bidder registration will be reflected on your Receipt, Bill of Sale, and Odometer Statement if you are a successful bidder. (If you register by Personal Name, your personal name and address will be on your paperwork; if you register by Company Name, your company name and address will be on your paperwork.) For example:

John Doe 512 N. 7th St. Phoenix, AZ 85009

OR

Al's Towing Service 717 E. Buckeye Rd. Phoenix, AZ 85009

On inspection days or on the morning of the auction, come tell us that you are pre-registered and we'll give you your bidder number and instructions. No lines . . . No waiting!

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First and Last Name:
Company Name:
Address: (REQUIRED)
City: (REQUIRED)
State: (REQUIRED)		AL AK 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 PR RI SC SD TN TX UT VA VI VT WA WI WV WY
Zip: (REQUIRED)
Phone (REQUIRED) (Include Area Code):
Fax (Include Area Code):
Tax Exempt:		NO YES
Tax License Number and State (If Claiming Exemption):
Fax a copy of your Privilege Tax License to 602.712.3076; or mail to . . . Arizona Dept. of Transportation Attn: Dave Beidleman 2225 S. 22nd Ave. Phoenix, AZ 85009
Purchasers are advised that providing false Tax License identification information renders them liable for payment of an amount equal to any tax, penalty, and interest which may accrue.
Add Me to Your Auction Mailing List:		YES NO
How Did You Find Us:		Flier/Mailing List Internet/Web Site My Little Salesman Ad National Auction Bulletin Ad Newspaper Ad Radio Ad TV Ad Word of Mouth
Date: (mm/dd/yy)
Please provide your email address if you want a personal response:

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