Jubilee Buys Wheelchair Accessible Vehicles

Your name

please confirm your full name e.g. Mr Robert Jones

Your postcode

Contact phone number

(please confirm your contact telephone number)

Your email address

Vehicle registration number

Vehicle mileage

(to the nearest 1,000) e.g. 24,000 miles

Vehicle make & model

(e.g. Ford Galaxy Zetec)

Type of wav conversion

(please select from the drop-down list)

Number of seats?

(please select the number of seats your vehicle has including the driver, front passenger/s and any rear passengers but excluding the wheelchair)

Any comments about the conversion?

(is there anything else we might need to know about the wav conversion?)

Did you purchase the vehicle from us?

(please select from the drop-down list)

How would you describe the general condition

(please select from the drop-down list)

Any damage including dents, marks or scratches ?

(please briefly describe any bodywork issues) e.g. scratch on front wing plus a large dent on the tailgate ect.

Any marks or damage to the windows?

(please briefly describe any issues with the windows or windscreen) e.g. large chip on the windscreen

Any damage or problems with the wheels or tyres?

(please briefly describe any wheel or tyre issues) e.g. kerb marks on 2 alloys and wear on 3 tyres

Any damage or issues with the seats or interior trim?

(please briefly describe any interior issues) e.g. worn driver's seat, soiled trim, scratches to the low floor area etc

Any mechanical issues or problems?

(please briefly describe any mechanical or wav conversion issues) e.g. gearbox problem, aircon not working, problem with chairlift etc

How long is the MOT?

(please select from the drop-down list)

Service History

(please select from the drop-down list)

How many keys?

(please select from the drop-down list)

Any other comments?

(please let us know of any other details that may be important)

Adapted Vehicle Purchase Valuation