Application form


  • 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 )
a_Contact purpose * Application Car request for member
b_Your First name *
c_Your Last name *
d_Email address *
(To ensure you get our response please check you email address again.)
e_Postal address *
(Must be completely correct for sending you all documents.)
f_Contact phone number *
g_Name of your country *
h_Name of discharge port *
i_Shipping method * CIF.
C&F.

FOB. but, j_Need Marine Insurance ( C&I ).
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.
l_Name of your car company
m_Your web site address ( if you have )
n_Where did you find our web site ?  *
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 :