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MOT Test Booking Form
You are booking with:
PALMERS AUTOCENTRES LIMITED
TURNERS HILL ROAD
CRAWLEY DOWN
CRAWLEY
RH10 4HQ
Please Note: MOT bookings are request based only and subject to availability.
1. MOT Details
Registration Number
Vehicle Type
*
Select Vehicle
Motorbike
Car
Make
*
Model
*
2. Booking Details
Booking Date
*
Hour
*
Select any hour
08
09
10
11
12
13
14
15
16
17
Minute
*
00
15
30
45
3. Contact Details
Title
*
Mr
Miss
Mrs
Ms
Dr
First Name
*
Last Name
*
Email
*
Confirm Email
*
Password
*
Password strength
None
Confirm Password
*
Contact Number:
*
(We require a valid contact number to confirm your booking)
I have read and agreed to the
terms and conditions
Note: Required fields are marked as
*
