Lotus Eletre (Type 132) Refundable Deposit Form
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Signature (please use your finger or hold down the left button on your mouse & sign)
*
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
If you already have a copy of your Driver's License, upload it here!
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*WE MUST HAVE A COPY OF YOUR DRIVER'S LICENSE ON FILE TO SUBMIT YOUR DEPOSIT TO LOTUS CARS USA*
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