NUIAS Vehicle Release Form

Dealership Information
Dealership / Manufacturer * Required
Street Address (Permanent) * Required
Street Address Address Line 2 City State ZIP Code
Contact Person * Required
First Last
Main Phone * Required
Email
Vehicle Information
The following vehicle(s) are being released by the above to the listed individual below, a student of Northwood University in Midland, Michigan, for the purpose of displaying the vehicle(s) at the Northwood University International Auto Show located at 4000 Whiting Drive, Midland, Michigan.
Releasing Vehicle(s) To * Required
Individual releasing the vehicle(s) * Required
First Last
Vehicle(s) * Required
Make Model/Type VIN Color Year Mileage Out
The dealership/manufacturer understands that Northwood University does not have insurance on these vehicles.
Consent to release vehicle(s) * Required
- I agree to release the vehicles as stated above for display at the Northwood University International Auto Show
Your full, legal name * Required
(Acts as electronic signature)
Email
This field is for validation purposes and should be left unchanged.

Make	Model/Type	VIN	Color	Year	Mileage Out

Dealership Information