Purchase Form

63 Higgins Road, Franton, Hamilton

First Name

Last Name

Phone/Mobile

Email

Driver's license OR other photo id

Upload Photo ID

ID Details (if not drivers license, passport or 18+ card)

Your Address

Where is the vehicle?

At the above address

At a different address

What is the pickup address?

Does the vehicle have/had plates?

Yes

No

Vehicle Registration Number

Vehicle Make

Vehicle Year

Vehicle Model

Please choose payment method

Cash

Bank Transfer

Free

Price

Name on Bank Account

Bank Account Number

Declaration

By signing this form you confirm that you are the legal owner of the vehicle and/or fully authorised to sell this vehicle. There is no security or fines owing on the vehicle.

Signature

Sign Here

Carjam Link

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