Abandoned Vehicles Removal & Disposal CMD Reference: Site Contact* Site Address:*Location of Abandoned Vehicle:*Please give location of Abandoned VehicleAbandoned Vehicle/s Information:*Please indicate Make / Model / Reg No. / ColourType of Premises:* OPEN LAND RETAIL PARK WAREHOUSE/FACTORY SHOP OFFICE Site Plan Attached? Yes No Photo / File / Site Plan upload: Drop files here or Select files Accepted file types: jpg, gif, png, pdf, jpeg, Max. file size: 16 MB. Instructing Client DetailsYour Reference: Company Name:* Your Name:* First Last Phone No:*Mobile Phone No:Email Address:* Enter Email Confirm Email Invoices Chargeable to:* Invoice Address:* Street Address Address Line 2 City County Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Terms & ConditionsWe / I agree to indemnify Collect My Debt Limited fully and effectually against all claims or demands which may be made against the company (or in respect of any damages or costs incurred by Collect My Debt Limited as a consequence of any such claims or demands) by anyone claiming ownership of, or some other interest in, the vehicle/s indemnification is also our assurance to fully indemnify and to pay all fees and further liabilities that are due from the origin under this agreement whether stipulated or not incurred by reason of your implementing this instruction; and we here by accept not to hold you responsible for any damage to buildings, land or any loss of earnings instigated by the disposal of abandoned vehicles process.CAPTCHAIt is a condition of this instruction that all directors, shareholders and members of the Claimant Company (where applicable) personally guarantee Collect My Debt Limited's fees, costs and charges. Review our Terms & Conditions* I agree to the Terms and Conditions It is a condition of this instruction that all directors, shareholders and members of the Claimant Company (where applicable) personally guarantee Collect My Debt Limited's fees, costs and charges. Review our Terms & ConditionsSignature:*Please sign below to Instruct us and accept our Terms & Conditions - you can sign this using either a mobile / tablet touch screen or PC Mouse / laptop mouse padDate of Instruction DD slash MM slash YYYY CommentsThis field is for validation purposes and should be left unchanged.