Zayani Motors - American Lafrance

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Call Center - 17709876
  Preowned vehicles For motoring enthusiast
 
 
 
Application Form  
Fields marked with asterisk * are mandatory
Name ( as on CPR card): *
Address *
P.O.Box: OR
House No:    Block No:  
Road:           Area:        
Contact Number *
Day Telephone:
Evening Telephone:
Mobile Telephone:
Other Information
Email:
CPR Number: *
Car
Model: *   Year: *
Registration Number: *
Method of Payment *
Cash   Cheque   Credit Card
Credit Card No.:
Expiry Date: Month Year
For Credit Card payment, Fax to 17 703 333
First time membership fees BD 30

 

 
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