Mot Pre Registration Form

As you have probably noticed we have set a special price to mark the opening of our very own mot bay. Problem is that it's not much good if your mot is not due for a few months! Not to worry, if you want your next mot for just £44.00 then all you need to do is fill in the form below and click the submit button - easy peasy!
Reg No
 * (no spaces please)

Mot expires on

*(dd/mm/yy)
Your full Name
 * (e.g Mr Geoff Dyde)
Address line 1
 *
Address line2
Town
 *
Post code
 *
E-mail Address
 *
Please confirm e-mail address
E-mail Address
 *
All fields marked with a * are required