Name of registered owner of the vehicle:
___________________________________
Address:____________________________
___________________________________
Membership number_______________
HomeLink International
CAR EXCHANGE AGREEMENT FORM
Both exchangers should complete the one form, one member on the left and the other member on the right. Each
should then send a copy to his/her respective HomeLink office.
Name of registered owner of the vehicle:
___________________________________
Address:____________________________
___________________________________
Membership number_______________
Proposed dates for car exchange
Make, model, year and registration number of vehicle
The car is comprehensively insured with the following company
Driver restrictions such as mileage limit, restricted areas for driving or parking etc.
Name of guest/s who is/are authorised to drive this
vehicle:
______________________________________
Age/s of guest/s:_________
Registration and insurance documents will be in the following place:
In case of mechanical difficulties, telephone this number:
(say what type of service will be received, e.g. emergency breakdown service)
It is assumed that the car will be fully serviced and clean on hand-over to the guest driver, and on its return to the
owner. It is assumed that each driver will be in possession of a valid driver’s license, and that a photocopy is being
sent by each to the other car owner. The car will remain registered and insured for the duration of the exchange.
Signed_________________________Date__________
Signed_________________________Date__________
Name of guest/s who is/are authorised to drive this
vehicle:
______________________________________
Age/s of guest/s:_________
I, _____________________________(print name)
I, _____________________________(print name)
hereby give permission to the person/s named above to be a guest driver of my vehicle
Is the car insurance limited in the extent of third party liability cover for the guest driver
Yes
No
If yes, give the amount
Yes
No
If yes, giv