Service Booking FormPLEASE USE THIS FORM TO BOOK YOUR VEHICLE IN FOR SERVICE OR REPAIR PERSONAL DETAILS Please fill in the details below so we can contact you with regard to this request. Customer Name * First Name Last Name Email * Phone Number * VEHICLE DETAILS Please ensure the details entered below are accurate. Vehicle Model * Registration Number * VIN Number * Odometre Reading * Service or Repair * Please select which service you require. Vehicle Service Vehicle Repair Requested Service Date * Please note: we cannot guarantee available service slots on your preferred date but we will do our best to accommodate your request. MM DD YYYY Your Province: * Central Copperbelt Eastern Luapula Lusaka Northern Muchinga North-Western Southern Western Further Comments / Information * Please fill in any more details you would like us to be aware of. Thank you for your Service Request. An Action Auto team-member will be in touch.
