| Customer Name: |
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Car registration Number: |
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| Contact Telephone number: |
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Land Line Number: |
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| If new to Monaco and vehicle is NOT a Volkswagen what type of vehicle is it and what is the approximate mileage? |
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| Does your car have a RBK&C parking permit? |
yes no |
If a lease car, which company? |
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| Preferred Date: |
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Preferred collection time: |
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Work you would like carried out?: |
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| We shall call you within 1 working day to confirm or amend your request. Please choose whether you would like to receive confirmation of this request by Telephone or Email |
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