Instructions: Please print this form, fill it out and fax back to Professional Adjusters @ 561-2732.

PROFESSIONAL ADJUSTERS OF ALASKA, INC.

FAX: (907) 561-2732

  SALVAGE BID FORM

CONTACT:

Dan Eames

VEHICLE:

1981 GMC 6000

CLOSING BID DATE:

Friday, April 6, 2007

NAME OF BIDDER:

DATE OF BID:

BIDDER SIGNATURE:

MY BID IS $

ADDRESS:

 

 

PHONE:

FAX: