Services Booking Form Web Site Personal Details Name & Surname * Policy No: * ID Number * Vehicle Km: * Cell Number * Home Telephone Number * Work Telephone Number * Email Address * Country * Date of service: * Note: * I hereby confirm that Autoserv Global does have all the correct information relevant and required from me as a policyholder of Autoserv Global non-regulated value-added products to book my vehicle in for a service. I/We hereby confirm and accept my/our options and abide by all liabilities including terms and conditions with regards to this booking of Autoserv Global products to support the GLOBAL GREEN DRIVE PROGAM Happy Motoring & make a difference !
