- Please correctly and completely fill out all necessary information so that
we may respond to your contact.
- All your information is kept private and confidential and not given to
any third party.
- * ( required )
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| a_Contact purpose * |
Application |
Car request for member |
| b_Your First name * |
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| c_Your Last name * |
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d_Email address * |
(To ensure you get our response please check you email address again.) |
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e_Postal address * |
(Must be completely correct for sending you all documents.) |
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f_Contact phone number * |
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g_Name of your country * |
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h_Name of discharge port * |
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i_Shipping method * |
CIF.
C&F.
FOB. but, j_Need Marine Insurance ( C&I ). |
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k_Car business of applicant * |
Buyer who is a licensed dealer or Importer.
Buyer who is in the business of car sales.
Buyer who is a car user and looking for own car.
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l_Name of your car company |
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| m_Your web site address ( if you have ) |
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n_Where did you find our web site ? * |
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| Request car information if necessary : |
| o_Car Year - Model & Grade name : |
eg. 2001 - Honda Integra Type R |
| p_Model type number - CC - Door : |
eg. DC5 - 2000cc - 3 door Coupe |
| q_Shift - Acceptable kms : |
eg. 6Fmanual - up to 70,000kms |
| r_Inquiry / Comment : |
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