Construction UEAF - Lloyd Ltd

Please complete the following form.

Step 1 of 4

Sales Representative:
Tell us who is completing this form:
Branch:
Account Number:
Customer Name:
First Last
Address:
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Mobile Number:
Home Phone:
Work Phone:
Personal Email:
Work Email:
Used Equipment Details
Make:
Model:
Description:
Serial Number:
Registration Number:
Warranty End Date:
MM slash DD slash YYYY
Meter Hours:
Year of Manufacture:
Cab Type:
Suspension:
Transmission:

Specification
Group Code:
Machinery Sector:
CONSTRUCTION:
Check box where included:
- Hitch
- Check Valves
- Hammer Pipework
- Buckets
Track Size:
Track Type:
Track Condition:
Hitch:

Condition
Overall Condition:
Track:
- Track
Tyre Size (front):
Tyre Size (rear):
Tyre Condition (front):
Tyre Condition (rear):
Valuation
Type:
Cost Price:
Transfer/Trade Price:
Trade Bid Date:
MM slash DD slash YYYY
Score:
Retail Price:
Trade Bid Value:
Trade Bid From:

Notes
Internal Description:
Internal Notes:
Central Admin
Date of Deal:
MM slash DD slash YYYY
Gold Stock No.:
Sales Rep No.:
Sales Rep Name:
Email
This field is for validation purposes and should be left unchanged.