Provisional Vehicle Entry Form

All items marked with * must be completed. Thank you.
Name
*
Company Name (if applicable)
Address Line 1
*
Address Line 2
Town
*
County
*
Post Code
 *
Telephone Number

Home * please provide at least one number
 Work
 Mobile
Fax
Email Address *
VAT Number (if applicable)
Are you *
 
Vehicle Details
Make *
Model *
Body Colour *
Date 1st Registered in UK *
Registration Number *
Year Manufactured
Gearbox
Mileage *
Warranted Mileage
Service History *
MOT Expiry Date *
 

Is the Vehicle...
Insurance total loss?

Yes No

Imported?

Yes No

 
Re-registered?

Yes No

Private Hire, Taxi or a Police Vehicle? Yes No
 
Additional Information and Extras...

For the auction on

*
Gross Reserve?
*
Do you want us to collect the vehicle?
Conditions of Sale apply. You will be asked to sign an entry form confirming details of description and will not be paid out until the signed form is received. For a full copy of the conditions, please ask the office staff.