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DVLA Personalised Registrations Timed Auction ... - DVLA Auctions

DVLA Personalised Registrations Timed Auction ... - DVLA Auctions

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Issue 2 2013 I <strong>DVLA</strong> <strong>Timed</strong> <strong>Auction</strong> of <strong>Personalised</strong> <strong>Registrations</strong><br />

<strong>DVLA</strong> <strong>Timed</strong> <strong>Auction</strong><br />

Registration Form<br />

We strongly recommend that you register online as you will only receive notification if you have been outbid if you register<br />

online. For assistance in completing this form and for deadlines, please see the previous page.<br />

1 ABOUT YOU – inDiViDUAL BiDDER DETAiLS<br />

This section must be completed in full in all cases.<br />

Title (Mr/Mrs/Miss/Ms etc) Forename(s) Surname<br />

Home Address<br />

Post Town County Postcode<br />

Home Landline Telephone Number<br />

Email Address<br />

2 PAYMEnT DETAiLS<br />

Please supply details of a valid debit or credit card registered in your name and at the address given above. If you are successful<br />

with your bid we shall charge this card for the full amount unless you pay by an alternative method within 10 working days.<br />

if payment is made by credit card, there is a handling fee of 3%. There is no handling fee for debit cards.<br />

Name (as it appears on card):<br />

Type of Card: (please tick)<br />

Amex<br />

Visa Debit<br />

(Connect)<br />

Mastercard<br />

Maestro<br />

Visa<br />

Solo<br />

Electron<br />

Card Number<br />

Start Date Expiry Date Issue No. (Maestro) CSV<br />

(last 3 digits on signature strip, or 4<br />

digits if American Express card)<br />

3 COMPAnY BiDDER DETAiLS<br />

Company Name<br />

Company Address<br />

Post Town County Postcode<br />

Business Landline Telephone Number<br />

Person who is Authorising this Bid<br />

Position in Company<br />

4 MAXiMUM BiDS<br />

Lot No. Registration No. Bid (in figures) Bid (in words)<br />

£<br />

£<br />

£<br />

£<br />

5 nOMinEE DETAiLS<br />

Please include initials or forenames. Addresses are not required.<br />

Lot No. Registration No. Name<br />

6 DECLARATiOn<br />

I agree that I will abide by the <strong>Auction</strong>eers’ Conditions of Sale and <strong>DVLA</strong> Sale of Registration Marks Regulations as printed in this catalogue and that SMA Vehicle Remarketing<br />

may take full payment from my nominated credit or debit card if an alternative method of payment has not been made within 5 working days from the close of the sale. I<br />

understand that mis-representation of registration numbers is strictly illegal and I agree to display my registration number correctly.<br />

Signature<br />

Date<br />

Warning: it is an offence to alter, re-arrange or misrepresent a<br />

registration number. There is a maximum fine of £1,000 and the<br />

registration number can be withdrawn without compensation.<br />

OFFiCE USE OnLY<br />

41<br />

Bidder No Keyed in SMA system Initials Date

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