Park Road Garage (Kempston) Ltd

Tel: 01234 853 111
Fax: 01234 856 537
info@prgvauxhall.co.uk

Sales Opening Hours:
Mon-Fri 9am-6pm
Sat 9am-5pm
Sun 11am-4pm

Service Opening Hours:
Mon-Fri 8am-6pm
Sat 8.30am-12.30pm

logo

To help with your enquiry please fill out the form as fully as possible.
Merchandise Details
Make
Model
Engine/Trim
Extras
Date of Registration
Registration Number
Mileage
Proposed Use

Personal Details
Sex
Title
Forename *
Surname
Maiden Name (if applicable)
Date of Birth
Marital Status
Number of Dependants
Contact Telephone *
Mobile
Email Address *
Residential Status
Address* Note Address for 3 years required
Town/City
Postcode
Time at Address
Previous Address (if less than 3 years at present)
Previous Town/City
Previous Post Code
Time at Previous Address

Employment Details
Employment Status
Employment Type
Employer Name
Employer Address
Employers Post Code
Occupation
Time with Employer
Employers Tel No (inc code)
Extension

Monthly Budget
*Required