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Name *

First

Last

Email *

Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

Vehicle registration number *

Vehicle type *

Gross weight less than or equal to 3,500kg

Gross weight over 3,500kg

Motorcycle type

Make *

Model *

Last 4 digits of chassis number *

Year of registration *

Fuel type *

Please specify

Date of MOT expiry *

Preferred drop-off date *

Date

Time

Vehicles must be dropped off before 9am on the test day.

Preferred pick-up time *

We will contact you if your vehicle fails the test and cannot be picked up the same day.

Test type

Comments *

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