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Courtesy Car Form/Demo Log Demonstration Car Customer Detail Name Address Postcode Tel No 1 Email Driving Licence Number Convictions Mileage Out Mileage In I confirm that I am living at the address on my driving licence. I have produced the original of my driving licence to Johnsons Cars Ltd including where applicable photo card and paper endorsement sheet and it has been photocopied by Johnsons Cars Ltd as a record of having been inspected* I do not have any of the following endorsements on my licence DD DR MS BA TT or XX. In accepting the above vehicle I acknowledge that it is the property of Johnsons Cars Ltd and is provided to me on loan subject to the following conditions If accompanied by a staff member of Johnsons Cars Ltd I understand that I will be covered by Johnsons Cars Ltd. s motor insurance policy. Otherwise I understand I must ensure that my own comprehensive insurance covers any claims arising whilst the vehicle is in my possession and that I must personally pay any uninsured excess if I have a claim* In the case of any loss or damage to the car I will assist Johnsons Cars Ltd in any way possible in pursuance of any insurance claim or recovery. I will report any accident or loss promptly to Johnsons Cars Ltd I will return the vehicle immediately upon request and at the latest on completion of the demonstration* If the vehicle is not returned to Johnsons Cars Ltd on request and/or as agreed I understand that a charge on the basis of normal self-drive hire car rate will be made for the period the vehicle remains in my possession* I will be responsible for any fines parking charges or penalties congestion charges or fixed penalties during the period of the loan* The vehicle will only be driven by me and only be used for social domestic and pleasure purposes. THE FOLLOWING SECTION IS TO BE COMPLETED ON THE RETURN OF THE VEHICLE Time and Date Vehicle actually return Signature of Driver Dealership Employee Signature Customer Date of Birth is / Signed Print Name Salesman Date/Time H/O Johnsons Cars Ltd Clive Road Redditch Worcestershire B97 4BT Tel 01527 69111 Fax 01527 598293. I have produced the original of my driving licence to Johnsons Cars Ltd including where applicable photo card and paper endorsement sheet and it has been photocopied by Johnsons Cars Ltd as a record of having been inspected* I do not have any of the following endorsements on my licence DD DR MS BA TT or XX. In accepting the above vehicle I acknowledge that it is the property of Johnsons Cars Ltd and is provided to me on loan subject to the following conditions If accompanied by a staff member of Johnsons Cars Ltd I understand that I will be covered by Johnsons Cars Ltd. In accepting the above vehicle I acknowledge that it is the property of Johnsons Cars Ltd and is provided to me on loan subject to the following conditions If accompanied by a staff member of Johnsons Cars Ltd I understand that I will be covered by Johnsons Cars Ltd. s motor insurance policy. Otherwise I understand I must ensure that my own comprehensive insurance covers any claims arising whilst the vehicle is in my possession and that I must personally pay any uninsured excess if I have a claim* In the case of any loss or damage to the car I will assist Johnsons Cars Ltd in any way possible in pursuance of any insurance claim or recovery. .

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