Please enter today's date:

-- mm/dd/yy

Please tell us about the repossessed vehicle you would like to bid on:

What is the year?		Make?		What is the Model?
Color?		Miles?		BID AMOUNT?

Please tell us about how you intend to make payment:

Cash
Certified Check
Loan w/Power CU
Other

Please provide the following contact information:

Full Name
Phone
Work Phone
Cell Phone
E-mail

I/We hereby submit our firm bid in the amount listed above.

I/We agree that POWER CU reserves the right to refuse my/our bid(s) including previously accepted bids. It is also agreed that POWER CU will cancel my/our bid at any time should I/we elect to withdraw that bid.

Please enter the two words that you see into
the yellow box before you Submit your form.