First Name
Last Name
Physical Address
Pickup Address
Email
Mobile
Phone
Drive Licence / Passport Number
Make & Model
Year
Chasis / VIN Number
Registration Number
Vehicle Check Ref
Registered YesNo
Selling with Plates YesNo
Pay Method ChequeCashDirect DepositFree
Identification Attached YesNo
Upload Photo (Your Car/Vehicle)
Upload Photo ID (Drivers Licence / Passport)
Total($)
Bank Account Details
Notes With Key Location
How did you find us? Yellow PagesNewspaperOnlineOther
Vehicle should be ready and accessible for the long truck to tow:
1- The seller agrees to remove and return registration plates to the authority.
2- The vendor warrants that is goods herein stated are his/her sole property and are free of encumbrance both at law and in quality and there is no impediment whatsoever to his/her giving possession and a good title to be Goods immediately upon the execution of this agreement and the covenants in this clause shall constitute a condition precedent of this agreement & further should at any subsequent date the Purchase suffer any loss through a breach of this clause by the vendor, then the vendor will upon demand made of him/her by the purchaser make good to the full, any and all such losses. Goods sold remain the property of the vendor until Financial Transaction is completed.
3- The payment is G.S.T inclusive.
4- Max Car Removals take no responsibility for outstanding registration and road user charges if any.
I acknowledge that I have read and agree to the above Terms and Conditions. Please sign below:
