Giles Nissan

6902 JOHNSTON ST
LAFAYETTE, LA 70503
Phone: 337-501-6468 OR 337-739-9064
Fax: Contact Dru or Marcus

* Required

Personal Information

First and Last Name *

Phone Number *

Email Address *

Car Information

Make *

Year *

Model *

Vin #

Exterior and Interior Color *

Body Style and Trim Level

Exact Miles *

Additional Equipment

Engine Size *

Gasoline or Diesel *

Automatic or Standard Transmission *

Two Wheel or Four Wheel Drive *

Power windows

Power locks

Does A/C Work *

Condition of Glass *

Has vehicle ever been in an accident? If you checked yes, please explain (required).

Last Time Vehicle Serviced

Has Vehicle Ever Been In An Accident? (Required) Please Explain. *

Please answer questions with grading scale using numbers 1-10. 1 Being Broken or Poor Condition, And 10 Being near Brand New Condition. Please Grade As Fairly and Accurate As Possible.

Body Condition (Scratches Or Dents) *

Paint *

Interior *

Power train (Overall Condition of Engine and Transmission) *

Tires *

Overall Condition of Vehicle *

* Required