Your Name
*
First Name
Last Name
Phone/Mobile:
*
Email address:
*
Car you are purchasing:
*
AMC Representative you are dealing with:
*
Adam Miller
Ashley Miller
George Humber
Joe Carter
Diaz Wright
Louis John
Kimberley Miller
Wes Daly
Anthony Mcnamee
Bhavik Vyas
Nishil Patel
Matthew Myles
Ben Maitland
Elliot Durrell
AMC branch:
*
AMC Essex - HQ
AMC Knightsbridge
AMC Birmingham
Name of person you give permission to accept or collect your car:
*
Relationship you have to them:
*
Please tick to confirm you are able to have the following available present at the time for delivery/collection:
*
Drivers licence belonging to you
Drivers licence of the person collecting your car
Does your ID details match (name, address, dob etc) match the details given on the car finance application documents you have arranged with us?
*
Yes
No
Preferred date of collection of your car:
*
Any other information you feel we should know before deciding if we allow this permission:
*
Finally, please type YES to confirm you give your full permission for this person to be in custody of your car for the purchase handover and have spoken about this with your AMC Representative until you are satisfied you understand and are happy for us to entrust this person with your vehicle and they are responsible for checking the car upon handover:
*
SUBMIT
Should be Empty: