BELANGRIJKE INFORMATIE
1. Naam: ...................................................................
Adres:....................................................................
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Nummerplaat: .......................................................
2. Uw dealer .............................................................
Naam: ...................................................................
Adres:....................................................................
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Tel: ........................................................................
3. UW MOTORFIETS
Model LML
Kleur: ...............................................................................
Nummer Motor:
Chassisnummer:
Sleutelnummer: ...............................................................
Datum aankoop: ..............................................................
Inschrijvingsdatum:..........................................................
Inschrijvingsnummer: ......................................................
241
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