| Your Name: * |
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1. What price range are you looking in?
From $ to $ |
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2. What is the main intended use of the car? (e.g. family, work, shopping, long trips, camping etc)
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3. Are you looking to trade-in an existing car?
Yes No |
| If yes, please give the; | model: | | |
| | year: | | |
| | kilometers: | | |
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4. Are you looking to buy the car using finance arranged through us?
Yes No Not sure |
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5. Do you have ideas on the type of car you want? (e.g. hatchback, sports couple, station wagon etc)
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6. Is there a particular make or model you have your eye on?
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7. Do you have any specific requirements/features you want? (e.g. CD player, air-conditioning, airbags, sporty looks, cheap insurance etc).
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8. When are you looking to buy your car?
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| 9. Please supply your contact details: |
| Preferred phone: | * | |
| Alternative Phone: | | |
| Email: | * | |
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10. Do you have a preferred time to be contacted? (e.g. evening, weekend, lunchtime etc)
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11. Please tell us how you first heard about us?
* |
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Verification:  |
| Please enter the text from the image above. * |
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| Thank you! We will be in touch soon. |
