USA Car Order Form

Quote Number, if known

Personal Details

Cargo Details

Vehicle does not either start, drive, steer and/or brake?

Ground Clearance is less than 150mm

Sender / Seller Details

Consignee / Receiver Details

Insurance
Full risk marine transit insurance is included for vehicles up to AUD 30,000. Please CLICK HERE for the policy details

I understand & agree if vehicle is worth more than AUD 30,000 then will be AUD 100 per AUD 20,000 or part thereof

Original Title

I understand and acknowledge the original US title is required for export out of the USA. The document is very important and difficult to replace, if lost there will be a considerable delay and additional costs. We strong recommend the original title is immediately couriered with signature required to the below address

Additional Details

We hereby authorise Dazmac Pty Ltd

to act as our agent on our behalf to handle our domestic, coastal and/or export shipment and request that all relevant documents be forwarded to them without delay. I / We have read, understand and accept all of DAZMAC Pty Ltd terms and conditions including Sections for Freight Quotes, Dimensions, Quarantine, Loss & Damage & Uncollected Goods
I also understand that if I have not selected insurance, I will be responsible for any costs for accidental damage should it occur in transit, and the insurance does not cover inner cargo whatsoever. Inner cargo is shipped at my own risk and my vehicle may not be accepted unless I follow the strict Inner Cargo Rules set by DAZMAC Pty Ltd

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