FORM: HVS Renew | Auto United Car Club

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FULL NAME*

REGO NUMBER*

VEHICLE*

VEHICLE PHOTOS interior all exterior under bonnet boot and suspension *

PINK SLIP DETAILS (if you have your own)

INSPECTION REPORT NUMBER

Date on Pink slip

CHECKOUT

VEHCILE INSPECTION

TICK TO REQUEST CLUB FOR VEHCILE INSPECTION$80

HOW MANY VEHCILES IN THE CLUB?

Pricing includes a stamped and signed declaration only*

JUST ONE$75

2-3 VEHICLES$60

4 OR MORE $50

Complete filled out Declaration

Tick if you would like to have the us fill the form for you$15

POSTAGE OPTIONS

No responsibility accepted for standard post

STANDARD$0

TRACKING NUMBER$8

EXPRESS$15

Optional Donation to help club stability

$10

$20

$50

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