Transfer Of Ownership Form - Mazda European Roadside Assistance Handbook

Transfer of ownership form

If your car is sold direct to a private individual, the remaining
cover may be transferred to the new owner. Please note
that the form below must be signed by original registered
keeper of the vehicle.
Please complete the details below and send to:
FREEPOST RLYZ-ZCRS-HEYB, Mazda European Assistance,
102 George Street, Croydon CR9 6HD.
Date of transfer
Mileage at transfer
Vehicle details:
Registration number
Chassis number (VIN)
(found on the passenger side dashboard visable through
the windscreen)
Details of the new owner:
Title (Mr/Mrs/Miss/Ms/Other)
Initials
Surname
House name/number
Street
Town
County
Postcode
Tel. work
Tel. home
Email address
(continued overleaf)
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