ONLINE VEHICLE PURCHASE FORM

GST # 104-386-415

First Name

Last Name

Phone

Plate Number (Rego)

Your Address

Driver License OR Photo ID

ID Details (Fill out if your ID is NOT a license)

Plates Returned?

Yes No

Agreed Price (NZD Number only)?

Vehicle Issue

Payment Method

Cash Direct Credit Free

Bank Account Number

Additional Comments (if any)

Declaration

I am the owner of this vehicle I am authorised to sell on behalf of the owner

Terms & Conditions

By submitting this form you agree to our terms and conditions.

Ready to sell Your Vehicle for Cash?