Traffic Ticket

First Name *
Last Name *
Vehicle registration number *
Current mileage status *
Do you need pick-up services? *
YesNo

Please mention the city were you would like to make an appointment. We kindly ask you to also specify the area for the workshop, for example: City Bucharest, Area Pipera/Nord *

Address to pick up the vehicle (this service will be reinvoiced to you in case it is not included in your contract)*
Note on the pick-up location for the service technician

From what time can we pick up the vehicle? (please note that the hour for pick up can be different than the one selected by you, considering also the hour and availability of the workshop for appointment) *

Telephone number *
Email address *
If the repair is longer than 1 working day do you require a replacement vehicle? (this service will be reinvoiced to you in case it is not included in your contract) * YesNo
Do you have any additional information?

First Name *
Last Name *
Vehicle registration number *
Current mileage status *
Do you need pick-up services? *
YesNo

Please mention the city were you would like to make an appointment. We kindly ask you to also specify the area for the workshop, for example: City Bucharest, Area Pipera/Nord *

Address to pick up the vehicle (this service will be reinvoiced to you in case it is not included in your contract)*
Note on the pick-up location for the service technician

First Name *
Last Name *
Vehicle registration number *
Current mileage status *
Do you need pick-up services? *
YesNo

Please mention the city were you would like to make an appointment. We kindly ask you to also specify the area for the workshop, for example: City Bucharest, Area Pipera/Nord *

Address to pick up the vehicle (this service will be reinvoiced to you in case it is not included in your contract)*
Note on the pick-up location for the service technician

From what time can we pick up the vehicle? (please note that the hour for pick up can be different than the one selected by you, considering also the hour and availability of the workshop for appointment) *

MOT expiry date (according to the details mentioned into the registration certificate) *
Telephone number *
Email address *
If the repair is longer than 1 working day do you require a replacement vehicle? (this service will be reinvoiced to you in case it is not included in your contract) * YesNo
Do you have any additional information?

Leasing Auto - Solutii eficiente

Business Lease Service Line:

+40 727.367.367

driver@businesslease.ro

Emergency Line:

+40 799.005.151

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