Part Exchange

Full Name:

Email Address:

Contact number:

House Number / Name:

Street:

Town:

County:

Postcode:

Registration:

Chassis Number:

Date First Registered:

Make:

Model:

Engine Size:

Derrivitive (SRI, VXR etc):

Optional Extras:

Exterior Colour:

MOT Expiry Date:

TAX Expiry Date:

Service History:

Servicing Garage:

Last Service Date:

Mileage at last Service:

Overall Condition

Please provide an honest appraisal of the condition of the bodywork:

Trim

Wheels and Tyres

Front Drivers Side:

Thread Remaining (cm):

Alloy Condition:

Front Passenger Side:

Thread Remaining (cm):

Alloy Condition:

Rear Drivers:

Thread Remaining (cm):

Alloy Condition:

Rear Passenger Side:

Thread Remaining (cm):

Alloy Condition:

Runflat Types?  Yes

Interior

 Cloth Leather Half

Condition (Rips, Burns etc)

Glass (Chips, Cracks on Windscreen and/or other Glass)

Exhaust Condition

Confirmation

 I confirm I am the registered owner of this vehicle, or I have persmission to provide these details from the owner.

Please email any photos to mrsm@mrsmini.co.uk