Here at Duckworth Land Rover we like to make things easy for our valued customers. In order that you may book your vehicle in for service outside of normal working hours we have the following form. Simply complete all the details on-line and submit the form to our service department. They will reply by email confirming your service booking.

*Name	Mr Mrs Miss Ms Dr    *Initials   *Surname
*Telephone (H)
Telephone (W)
Telephone (M)
*Address
*Postcode
*Email
Current Customer	Yes    No
*Vehicle Reg
*Vehicle Mileage
*Vehicle Make	Land Rover Other	Model	Please Select Defender Freelander Discovery 1 & 2 Discovery 3 Range Rover Range Rover Sport Other
		Type	Select Model First
			Other - Please specify
*Preferred Date of Service/Work			Click
*alternative date 1			Click
*alternative date 2			Click
Please give brief description of service or work required
Please state if you would like to take advantage of one of the following services.          None   Service Loan Vehicle   Collection & Delivery   Express 'While You Wait' Service
Acceptance of service booking taken on-line is subject to terms and conditions Please ask for details.