Land Rover Parts January Sale

myDetails

In an effort to maintain our database and to ensure that the information we keep is accurate and complete, we provide the following form which we invite you to complete and submit to us.

Please be assured that the information is used only to help us provide you with a more tailored and relevant service. It enables us to provide accurate and timely reminders when your vehicle is due for a routine service or other scheduled maintenance. The information will never be disclosed and is subject to our privacy policy.

The interest section allows us to keep you posted about forth coming events and activities which you may be interested in. Duckworth Land Rover hold numerous events throughout the year and we regularly offer our valued customers the opportunity of attending some of these events.

Please complete the following form and click the 'Submit' button below.

Section 1 - Your address details
     
Name & Home Address   Company Name & Address (if applicable)
     
Name
Address
Post Code
 
Company
Address
Post Code
 
When writing to you would you prefer letters to be sent to your  or  address?
     

Section 2 - Your telephone numbers and email address
Home
Work
Mobile
Email
  
 

Section 3 - Your vehicle(s)
  Registration No. Chassis No Last Service (mm/yy)
1
2
3
4


We realise that you may not have your vehicle chassis number available when completing this form. It is however useful for us to be able to correctly identify your vehicle. This is especially important if you happen to have a personalised registration number. While the chassis number is optional, it would be greatly appreciated if you could complete this information. You can enter the details for up to four vehicles above. If you happen to have more than four vehicles then please enter the first four and then return to this form to enter the remaining vehicle details.

Section 4 - Your interests

The following optional information allows us to keep you posted on the various activities and events that Duckworth Land Rover sponsor or host during the year.

Shooting Fishing Health & Leisure
Caravanning Rugby Golf
Motor Racing Horse Racing Off Road Driving
Football    
 

Verification

Finally, we ask you to enter the code shown in the image opposite. This prevents us from receiving numorous automated spam emails.

Enter the code shown in the image below. (Please note that the code is case sensitive).

When you have entered the verification code please submit the form to us by clicking the button below.