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1.  title:  [ Please select ] Mr Mrs Miss Ms Dr Other
2.  title if other: 
3. * first name: 
4. * surname: 
5.  email address: 
6. * contact phone number: 
7.  preferred contact method:  [ Please select ] Phone Email
8.  Škoda model: 
9.  registration: 
10.  engine size: 
11.  mileage: 
12.  which do you want to book?  [ Please select ] Service MOT Repair
13.  any comments you'd like to add:  --
14.  fill in the date you'd like: 
15.  fill in the time you'd like:  [ Please select ] Morning Afternoon
16.  courtesy car required:  [ Please select ] Yes No

1. Important information - please read: Data Protection Act 1998:
2. Details of your enquiry will be sent to you nearest Škoda retailer, who may contact you.
3. We, Volkswagen Group United Kingdom Limited (trading as ŠkodaAuto), our associated companies and members of our authorised network will hold your information. We may share your information with other group companies and may pass it to other carefully selected third party organisations. We or they may contact you by post or telephone to let you know about other products, services and special offers that might be of interest to you, or may ask you to participate in one of our customer satisfaction surveys.
4. If you do not wish your information to be used in this way by Volkswagen Group, its retailers or third party organisations, please tick the appropriate box:
5. Volkswagen Group and its retailers.
6. Third party organisations.
7. You have the right to ask us for a copy of the information held by us in our records in return for payment of a small fee. You also have the right to require us to correct any inaccuracies in your information.
8. If you would like to be contacted by e-mail or SMS please tick this box.
9. * these fields are mandatory: