LAND ROVER FREEPORT NEW VEHICLE PRE-DELIVERY CHECKLIST Click Here if Outside of CT, NJ, NY, or PA Pre-Delivery Checklist (Land Rover Freeport) MAIN CONTACT INFORMATION Please fill out Customer Information exactly as it appears on his or her driver's license. Delivery Date * Anticipated Date of Delivery Estimated Time of Delivery 121234567891011 : 00153045 AMPM Salesperson * Alex Quinteros • 917-596-1823 • Alex.Quinteros@jaguarlandroverfreeport.comDaren Cox • 516-884-3550 • Daren.Cox@jaguarlandroverfreeport.comJoe Gomez • 347-644-3823 • Joe.Gomez@jaguarlandroverfreeport.com Juan Roman • 347-873-3149 • Juan.Roman@jaguarlandroverfreeport.comKen Weitz • 516-449-7282 • Ken.Weitz@jaguarlandroverfreeport.comMichael Fiore • 516-316-6953 • Michael.Fiore@jaguarlandroverfreeport.comNick Capri • 631-697-2278 • Nick.Capri@jaguarlandroverfreeport.comPeter Nawrocki • 305-336-4281 • Peter.Nawrocki@jaguarlandroverfreeport.comSteve Mahoney • 516-286-5170 • Steve.Mahoney@jaguarlandroverfreeport.comSteve Suydam • 631-804-0923 • Steven.suydam@jaguarlandroverfreeport.comTravis Haynes • 347-733-6223 • Travis.Haynes@jaguarlandroverfreeport.comTroy Johnson • 347-742-3272 • Troy.Johnson@jaguarlandroverfreeport.com Finance Manager * Geoffrey Mankowski • 631-352-9336 • Geoffrey.Mankowski@jaguarlandroverfreeport.comJoshua Weiss • 917-575-2563 • Joshua.Weiss@jaguarlandroverfreeport.comMark Illiano • 516-987-2497 • Mark.Illiano@jaguarlandroverfreeport.comUnknown First Name * Middle Name Last Name * Suffix Customer Phone * 1 License Image? * Yes No Front of License * Drop a file here or click to upload Choose File Maximum file size: 134.22MB Address * City * State * CTNJNYPA Zip * Date of Birth * Phone (Cell) * Company Name CURRENT INSURANCE INFORMATION Current Insurance Image? * Yes No Insurance Card * Drop a file here or click to upload Choose File Maximum file size: 134.22MB Current Insurance Company * AllstateGeicoLiberty MututalState FarmNationwideProgressiveFarmersTravelersUSAANYCMBroker-Don't know Agency Phone Policy Number * NEW VEHICLE INFORMATION Window Sticker Image? * Yes No Window Sticker Image * Drop a file here or click to upload Choose File Maximum file size: 134.22MB New Vehicle Year * 20142015201620172018201920202021202220232024202520262027202820292030 New Vehicle Make * JaguarLand RoverOther New Vehicle Make New Vehicle Model * New Vehicle VIN * New or Used Vehicle? * New Used Used Vehicle Mileage * MSRP * $ FINANCING INFORMATION Finance or Lease? * Finance Lease Cash Financing Company? * Ally Financial • PO BOX 8138 • Cockeysville, MD 21030Bank of America, N.A. • PO BOX 2759, Jacksonville, FL 32203GM Financial • PO BOX 182672, Arlington, TX 76096-2673JP Morgan Chase Bank NA • PO BOX 301033, Fort Worth, TX 76101-233Satander Consumer USA Inc • PO BOX 691288, Fort Worth, TX 76161TD Bank NA • PO BOX 675, Wilmington, OH 45177Truist • PO BOX 819, Wilson, NC 27894US Bank NA • PO BOX 3427, Oshkosh, WI 54903Valley National Bank • 1445 Valley Road, Wayne, NJ 07470 Leasing Company? * Ally Vaul Trust • PO Box 8138, Cockeysville, MD 21030JP Morgan Chase • PO Box 901098. Fort Worth, TX 76101USB Leasing LTD • 1850 Osborn Avenue, Oshkosh, WI 54902 Is There a Co-Signer? * No Yes Co-Signer (Please type the person's name). REGISTRATION INFORMATION Replacement Vehicle? * Yes No Vehicle Replacing? ADDITIONAL INFORMATION Additional Notes Captcha Submit
