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Customer details will be treated as
Strictly Confidential!
Date: ____/____/____
Name:
____________________________________
Address:
__________________________________
__________________________________________
City_______________________________________
Post
Code: ________________________________
Telephone No:
___________________
Dashboard Services has advised me of my legal
obligation to notify prospective purchasers ,that this vehicles
mileage has been altered. I have also been advised that CLOCKING a
dashboard for personal gain is a serious offence for which I may be
prosecuted. Dashboard Services takes no responsibility
whatsoever for the work carried out.
Registration: _______________________
Model:
____________________________
Year of production:
__________________
Original mileage: ____________________
New
mileage: _______________________
Dashboard Services reserves
the right to refuse all work, without any explanation being
given.
My reason for the alteration is...
Please state
reason
_____________________________________________________________
_____________________________________________________________
I
/ We accept the above terms and conditions, I / We are fully aware
of the legal implication imposed. I / We accept that no guarantee is
given on this service.
Sign :_____________________
Print Name
:_______________________
Please complete this form and send it with the
dashboard,
Make sure items sent are packed properly we will not
take responsibility for damaged goods | 
