------ Print & Fax to Mel at  574-772-3367    at Kankakee Valley Ford ---Just click the Print button above--------

First Name:     _________________________________________________________

Middle Name:     _______________________________________________________

Last Name:     _________________________________________________________

Date of Birth:     ________________________________________________________

Address:     ___________________________________________________________

How Long at Address?     ________________________________________________  

Place of Employment:     _________________________________________________

Address of Employer:     _________________________________________________

Occupation:     ________________________________________________________

Length of Employment:     ________________________________________________

Phone # Home & Cell:   _________________________________________________

email address:   _______________________________________________________ 

Fax or just call Mel with this info...TODAY!

Do You want Great Mileage, call Mel about the Great MPG cars the sporty Focus and Fusions!  Do You Want Family size room, Call Mel about his safe, economical and roomy Taurus!  Do you want a Convertable, call Mel about his Mustangs!  Do You Want a 4x4 Full Size Quad Cab, again Call Mel about his F-150's!   SUV's & Crossovers...safety and ecomomy...fun and sports...work trucks & commerical.....KANKAKEE VALLEY FORD HAS IT ALL!       And In Stock! Check out the Huge Assortment, NOW!

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