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Adres:

Van den Brink Automotive
Rendementsweg 20, 3641 SL Mijdrecht

Telefoon: 06-390 669 66
Email: info@vandenbrinkautomotive.nl
Web: vandenbrinkautomotive.nl

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Contact Information
First Name	Last Name
Work Phone	Telefoon
Email	Voorkeur contact Email Telefoon
Reacties

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Vehicle Information
Jaar	Merk
Model	Exterior Colour
VIN	Kilometres
Engine	Doors
Transmission	Drivetrain

Vehicle Rating
Body (dents, dings, rust, rot, damage)	Tires (tread wear, mismatched)
Engine (running condition, burns oil, knocking)	Transmission / Clutch (slipping, hard shift, grinds)
Glass (chips, scratches, cracks, pitted)	Interior (rips, tears, burns, faded/worn, stains)
Exhaust (rusted, leaking, noisy)

Vehicle History

Was it ever a lease or rental return?

Is the odometer operational and accurate?

Detailed service records available?

Title History

Is there a lienholder?

Who holds this title?

Vehicle Assessment
Does all equipment and accessories work correctly?	Did you buy the vehicle new?
Has the vehicle ever been in any accidents? Cost of repairs?	Is there existing damage on the vehicle? Where?
Has the vehicle ever had paint work performed?	Is the title designated 'Salvage' or 'Reconstructed'? Any other?

Name:
Email:
Friends Email:
Message:

Name:
Voorkeur contact:	Email Telefoon
Email:
Telefoon:
Offered Price:
Financing Required:
Other Comments/Conditions:

Name:
Voorkeur contact:	Email Telefoon
Email:
Telefoon:
Voorkeur dag:
Voorkeur tijd:

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