Tel: 0800 074 0070
Fax: 0871 989 8126

Unit 3, Oakford Place, Tog Lane,
Gt Horkesley, Essex, CO6 4BX


Car Collection Form

Your Telephone Number


Your Email Address


Your Name


Quote Number If Your Have One


Price Quoted To You In £


If You Have Got This Car From Ebay Please Enter The Ebay Item Number


Collection Details

Collection Name

Collection Address




Collection Postcode   

Collection Telephone Number


Delivery Details

Delivery Name

Delivery Address




Delivery Postcode

Delivery Telephone Number


Date of collection (DD/MM/YYYY)

Time of collection (HH:MM)

Date of delivery (DD/MM/YYYY)

Time of delivery (HH:MM)


Make

Model

Vehicle Reg

Is The Car Modified In Any Way
Yes No
Are All Wheels Free and Rolling
Yes No
Tax
Yes No
MOT
Yes No
Is The Vehicle Road Worthy
Yes No
Front or Rear Wheel Drive
Front Rear
Can We Drive Your Car On Our Trade Plates and Our Motor Trade Insurance
To The Delivery Address (Car/Van Must Have MOT But No TAX Is Ok)
Yes No
Are All The Vehicles Wheels Free And Moving
Yes No
Will We Need To Winch The Vehicle On To The Transporter
Yes No

Length

Width

Height


Description Of Your Vehicle


Weight Of Vehicle (Kg)


Payment Information


If you have selected to pay by PayPal we will email you a PayPal payment link

If you have an account please enter you account number below


By submitting this form, I agree that I have read and agree to comply with the Terms and Conditions


Once you submit this form one of our customer services representatives will give you a call within 30 minuets if in the unlikely event that someone does not give you a call please call us FREEPHONE 0800 074 0070