Place a Lotus Carlton/Omega Advertisement

Free advertisements will only be provided for Lotus Carlton and Lotus Omega owners. Advertisements will be shown for up to six months from entry. The following form must be completed as fully as possible.

I am attempting to build a database of all of the cars that were ever built and as I provide the advertisement service free-of-charge, could you please supply all of the details that I have asked for as payment. Fields marked with # will not be included in your advert; chassis numbers, engine numbers and registration/license numbers will remain confidential.

Can you please also send a photograph for inclusion to James, if you need to post a picture, please mail me for my address.

Thanks in advance for your co-operation - James

* = Information required

# = Information will remain confidential

Mr. Mrs. Ms. Miss.

First name:	*
Surname:	*
Address:


County:
Post Code:
Country:	*
Home telephone number:	*
Work telephone number:
Mobile telephone number
E-mail address:	*

Car Details

Model:	*
Country Specification:	*
Build Number:	*
Chassis Number:	#
Engine Number:	#
Year of First Registration:	*
Month of First Registration:	*
Registration/license number:	* #
Odometer reading to nearest '000 miles or km's	#
Supplying Dealer (if known)	#

Features

No. of owners:
M.O.T., TÜV or equivalent until:
Road tax, or equivalent until:	*
Year of First Registration:	*
Month of First Registration:	*

Additional Features:

Alarm:	Yes No
Alloy wheels:	Yes No
CD player:	Yes No
Full service history:	Yes No
Immobiliser:	Yes No
Tracking Device:	Yes No
Any additional information::
Price:
Currency?:	e.g. GBP, Euro, etc.
Will you take offers on this price?	Yes No