CHOOSE A VEHICLE *Model: Galant Eclipse Mirage Montero Diamante   Exterior Color: Additional Options:   Interior Color: Additional Info: PURCHASE INFORMATION Purchase Time: I plan to purchase within the next 72 hours I plan to purchase within the next 2 weeks I plan to purchase within the next month I plan to purchase within the next 3 months I plan to purchase within the next 6 months I plan to purchase within the next year Payment Method: Cash Finance Lease       TRADE-IN INFORMATION Manufacturer:   Model: Options:   Miles: CONTACT INFORMATION *Name:   *Email: Home Phone:   *Day Phone: Fax:   Preferred Contact: Phone Morning Phone Midday Phone Evening Email Fax Address: *City:   State: *Zip:                           *These fields are required
	Salerno-Duane Mitsubishi 947 Communipaw Avenue Jersey City, NJ 07304 Tel: (201) 435-1200 Fax: (201) 435-9721 E-Mail: jcmitsu@webspan.net