O W N E R S R E G I S T R A T I O N
Questions marked with (*) are optional and are general
information for our records.
Either fax (+27 31 7091287) or email (info@birkin.co.za) us your details
Name: - Vehicle Model:-
*Age: - V.I.N. / Chassis Number:-
Postal Address:- Engine Number:-
Supplying Dealer:-
Country: -
Date of Delivery: -
Contact Telephone Number:-
Registration Number:-
Email Address:-
*Profession:-
I wish to be kept
updated on new
developments,
promotions, new
accessories:-Yes No
03
Copyright Birkin Cars (Pty) Ltd
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