Entry Form
Please fill in the information below and we will be in touch
Customer Details
Name
*
First Name
Last Name
Address
*
Address
*
Street Address
Street Address Line 2
City
County
Post Code
Telephone Number
*
Landline / Mobile
E-mail Address
*
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Bank Details
(So we can pay you once your vehicle sells)
Account Name
*
Name on the Bank Account of which you would like to be paid once your vehicle sells
Account Number
*
Sort Code
*
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Entry Details
Type of Entry
*
Vehicle
Plant Item
Description of Item(s) you're entering:
VAT?
Yes
No
Unsure
Image Upload
Click to Upload Images
Any documents or Images you'd like to send us
Cancel
of
Vehicle Registration Number
*
Mileage
*
Odometer Reading
Remarks
Any other information you'd like to share (Sat Nav, Leather Seats, etc)
Is your vehicle subject to any Hire Purchase or Third Party Interests?
*
Yes
No
Unsure
Would you like to set a reserve?
*
Yes
No
I'd like more information
There is no charge for setting a reserve
Reserve Price
*
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Are you a VAT Registered person or company?
*
Yes
No
Please state your VAT Number
Did you recover VAT when you purchased this vehicle?
*
Yes
No
Discount / Referral Code:
Where did you hear about us?
*
Friend
Newspaper
Facebook
Google
EAMA10k
Trade Fair / Event
Road Sign
LinkedIn
Direct E-Mail
Wymondham Leisure Centre
Diss Leisure Centre
Long Stratton Leisure Centre
Gordon Haynes
Which friend?
Signature
*
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