REGISTRATION APPLICATION

Business Owner, Officer, Partner or Private Individual

Name of Buyer: .
(Company / Partnership / Sole Trader / Private Individual):

Buyers Contact Title: (Mr, Mrs, Miss, [Rev, Dr], etc )

Buyers Contact Name: .

J ob Title: .
(letter of authority may be required)

Address: .

.

.

.

Postcode: VAT No.: ..

Tel No. Mobile Tel: ..

Email: .
Mailing Address (Only if different to above)

Address: .

.

.

Postcode:

AGREEMENT
I/We the undersigned as owner(s), officer(s) or partner(s), of the above named business or as a private individual acknowledge that I/we are
responsible for all account activity occurring under any user name and password assigned to the above named business or individual or their
respective agents. The undersigned further acknowledges responsibility for any purchases made by anyone using this account or any buyer,
storage, late, loading, convenience, relist fees or other charges or fees on salvage incurred by, anyone using this account. Fees are applicable
at each location on a per-vehicle basis. Fees may vary at each location and are subject to change without notice. I/We have read and agree to
the Salvage Market Terms and Conditions of Purchase and Use and the Privacy Policy located at www.SalvageMarket.co.uk/terms.php which
are incorporated into this agreement.

I/We agree to notify Salvage Market in writing of any change to the above information.

Data Protection Act of 1998: I/We understand that copies of this application and all related documents will be retained by NSG for its records
and may be shared with third parties in accordance with our Privacy Policy.


Signature: .... Print Name: .... Date: ...



Signature: .... Print Name: .... Date: ...


Stanciu Iulia-irina
mrs
Stanciu Iulia-Irina
Assistant Manager
Mun. Rimnicu Vilcea, Jud. Vilcea
Str. Matei Basarab Nr. 9 Bl. 125, Sc. A, Ap 9
0745994440
stanciuiulia18@yahoo.com
stanciu iulia irina 14.05.2014
240225