Trailer Appraisal Request


Name:  ________________________            VIN#:  _________________________


Make:  ________________________            Model: _________________________


Email to Send Appraisal:____________________________   Year:_________


Contact Phone Number:_____________________________


List All Options & Condition:
















Payment Information






Credit Card #


Expiration Date








Name on Card


CSV Code










I herby authorize Millennium Trailers to charge my credit card for $99 to complete a trailer appraisal:



______________________________________        _________________________

Authorizing Signature                                                    Date



E-mail back to or fax to 317-862-3200 with pictures of the trailer.  Once your form has been submitted, call 317-862-3000 and ask for Bill. No trailer appraisal information will be given over the phone, unless the form is complete. Forms without payment information or forms that are not signed will be discarded.  Master Card, Visa and American Express accepted.