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Deliveroo completion form
Richard Jordan
2021-02-25T13:01:38+00:00
Deliveroo complete
Dealer submitting the form
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Green Mopeds, The Yard, Broad St, Teddington TW11 8QZ
London Motorcycle Centre, 82 Sunleigh Road, Alperton, Wembley, London, HA0 4LR
London Motorcycles Shop, 7A Victoria Mansions, South Lambeth Road, London SW8 1QT
Spark Motos, Clifton Nurseries, Woburn Hill, Addlestone, Surrey, KT15 2QG
Urban eBikes London, 507, 509 Cambridge Heath Rd, London E2 9BU
Rider number
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Registration number (without spaces)
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Photograph of rider with vehicle
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Max. file size: 100 MB.
Confirmation of collection
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I confirm that the person whose rider number appears above has picked up a Super Soco CPX under the Deliveroo incentive scheme
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