Kingsmead
Tel: 031 940 4448
Service Request
Only Confirmed Bookings will be valid.
Service - lead time: min 24h
Service & Repair - lead time: 3 days
Repair - lead time: 3 days

Requested Date(at least 24 hours from the date of submission):
( dd - mm - yyyy )
Name:

Surname:

ID Number:

Telephone:

Registration Number:

Mileage (KM):

Existing Customer
E-mail:

Address:

Vehicle Make and Model:

Chassis Number:

Year First Registered:

Comments:


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