Name

Contact Number: (We will contact you on this number to confirm)

Email Address

Vehicle Make? (Ford, Holden etc etc)

Vehicle Model: (Falcon, Commodore etc etc)

Vehicle Colour and Registration: (Red, 123ZZY)

Pickup Address: (Street number, Street and Suburb)

Delivery Address: (Street number, Street and Suburb)

Is the vehicle running? Is the vehicle running? Yes No

Will the keys be with the vehicle? Will the keys be with the vehicle? Yes No

Any other information that we may need to know? Car is lowered, vehicle is damaged?