North Motor Company
BOOKING FORM


If a SERVICE please select
   
Please tick as required  
   
Do you need an MOT? Yes No
If so, when does your MOT expire?
Do you need an Timing Belt/Chain? Yes No
Air conditioning service? Yes No
New Tyres? Yes No

TYRES - if yes.
Please state tyre size and number required
   

WARNING LIGHTS.
Please state what warning lights are on - if any.
   
Name
Registration Number
Email
Address
Postcode
Home phone
Mobile phone
Work phone
   
Vehicle make
Vehicle model
   
Is the work urgent? Yes No
Do you have a date in mind?
(please put date and time)

Do you need a courtesy car? Yes No
   
Other - please explain
 
   

 

Monday to Friday 8am to 5.30pm

North Motor Company
Holden Farm
Cheriton
Alresford
Hampshire
SO24 0NX

Office: 01962 771331
Parts: 01962 771881
Email: info@northmotor.co.uk

All major credit cards accepted, with the exception of American Express.