Registration


Vehicle registration
Fields marked with * are mandatory

Fill in the form below and press submit to email it to us

Form A

Owner of Vehicle
* Title
First Name
* Surname
Company name
if applicable
* Address




* Postcode
Home Tel No.
Work Tel No.
Fax No.
Mobile Tel No.
Email Address
If you provide us with an email address we will send you an acknowledgement of registration.

Vehicle Information

* Registration Number of Vehicle

* Number Etched into Windows
* Chassis Number / VIN
Please enter the full 17 digit number
* Make of Vehicle
Model
Colour
Year
* Current Mileage Miles
Engine Number
Door/Ignition Key Number
Radio Code
Locking Wheel Nuts Code

Dealer Information
Dealer Name
Dealer Town

  

If you would like to post the form to us, click on the Print button and post it to:
Retainagroup Ltd
Unit 2, Highpoint Business Village
Henwood, Ashford
Kent TN24 8DH



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