Iola Old Car Show Auction Consignment Registration Form:
First Name __________________________ Middle Initial ______ Last Name _____________________________________
Home Phone _______________________ Work Phone _________________________ Cell _________________________
Email Address ________________________________________________________________________________________
Home Address _______________________________________ City ____________________ State ____ Zip ____________
Company Name _______________________________________________________________________________________
Title / Position ________________________________________________________________________________________
Address _____________________________________________ State ________________ Country _____ Zipcode _______
Dealer Number ______________________________________ Tax ID Number ____________________________________
Vehicle Information: PLEASE FILL OUT VEHICLE INFORMATION SHEET FOR EACH VEHICLE
All spots are $125.00 per car, and you can select your spot in the auction line up. We are accepting only 165 vehicles and is
first come, first served.
Along with your Entry fee you will get a pass into the Auction and Iola Car Show for that Saturday along with your information
packet. Your Entry fee is also the only fee that you will pay if your vehicle should not meet the seller’s reserve. If your vehicle
sells at the auction then you will be charged an additional low commission rate.
Circle one to select: 4%- No Reserve 6%-With Reserve
You may also list your vehicle in the Car Coral and then move it to the Auction. The Seller will receive a $50.00 credit back
towards your entry fee/vehicle. You will not receive a day pass with this process of entry.
All vehicles, must have title present day of auction, or letter of commitment from financial institution. VIN must match title.
Project cars may be taken upon approval by VanDerBrink Auctions. They may be trailered.
We request that you bring