purchase form
320 great south road, manurewa, auckland
First Name
Last Name
Phone
Email Address
Driver License
ID Details
Address
Vehicle Details
Price
Declaration
By submitting this form I confirm the receipt of payment from XPRESS AUTO PARTS LTD, this being the full and final payment. I also confirm that I am the legal owner and/or fully authorised to sell this vehicle. There is no security or fines owing on the vehicle.
Date
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