LHDPlace - Vehicles offered form

Engine Size:

Vehicle Make:

Type:

Model:

Year of Registration & Manufacture:

Registration Number:

Fuel Type:

Number of Doors:

Colour:

Transmission:

Country of Origin:

Vehicle's Service History:

Distance Driven:
(please type distance & select appropriate box)

km
warranted

miles
warranted

km
unconfirmed

miles
unconfirmed

Left / Right Hand Drive:

Extras:
(not required)

Approximate Price Required:

Ł STG

First Name(s):		Last Name:
Country:
Your Address:

		Area Code:
Phone Number:	(including country and area codes)
Fax Number: (not required)	(including country and area codes)
Mobile Number: (not required)	(including country and area codes)
E-Mail:
Remarks: (not required)