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JU TRADE Copied Vehicle Inspection Certificate

This form is vailed JU TRADE mode purchase only.
Purchased by JU NAVI mode, Please contact auction site directly.
Please describe the following contents:
Customer IDrequired
 -  
Company namerequired
Person in charge
Phone numberrequired
 -  - 
Please enter the phone number that is easy to contact.
FAX numberrequired
 -  - 
We will send copied VIC by FAX.
Email

Verify
Vehicle informationrequired
Date you purchased  M  D 
Name of auction site 
Listing number 
Car model name 
Any additional comments
【Note】
・Due to business reasons, it may take some time to respond.
・We will reply only by fax.

【Contact information】
★Management Department:0120-094-418 (Guidance number 3 )
 Sorry, We speak only Japanese.
If you accept the terms. select the checkbox.required