Alfa Romeo

Complete the form below to request a service.

^* Represents mandatory information.

Select the vehicle from our range.

Model^* Select Alfa 147 3-door Alfa 147 5-door Alfa 159 Alfa 159 Sportwagon Alfa GT Alfa Brera Alfa Spider Alfa Spider (pre 2007) Alfa 156 Alfa 156 Sportwagon Alfa 166 Alfa GTV Alfa 145 Alfa 146 Alfa 155 Alfa 164 Alfa 156 Other
Version Select
Is your car privately owned or a company car? Select Private Company Lease

Preferred date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2007 2008 2009 2010
Preferred time of contact Select Morning Afternoon Evening
Registration number
Mileage
Comments

Title^* Select Mr Mrs Miss Ms Dr Rev Prof Other
First name^*
Surname^*
Gender^* Select Male Female
Address line1^*
Address line2^*
Address line3^*
Postcode^*
Date of birth 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920

Preferred method of contact^* Select Home telephone Work telephone Mobile telephone Home email address Work email address
Preferred time of contact Select Morning Afternoon Evening
Home telephone
Work telephone
Mobile telephone
Home email address
Work email address

Important please read

We Beechdale and Alfa Romeo UK will use your details to help process your requirements and for marketing purposes. We, Alfa Romeo UK or other Alfa Romeo appointed companies may wish to contact you by post, email, fax or telephone to let you know about products, services or special offers that might be of interest to you or to ask you what you think of us in order to improve our customer service. For these purposes, the information may be stored, processed, and passed on to other Alfa Romeo Group companies, agents or representatives. All information will be treated confidentially and in accordance with the Data Protection Act 1998 and associated legal provisions concerning data protection. You have a right to ask for a copy of the information held by us in our records by writing to The Data Manager, Alfa Romeo UK, 240 Bath Road, Slough, Berks, SL1 4DX. A small fee may be required. You also have the right to require us to correct any inaccuracies in your information.

Section 1: Request to suppress all methods of communication:

Tick here if you do not wish the details to be stored and processed in the manner described above. In this case, your data will only be used to ensure that we comply with your specific request.

If you have not ticked the above box please complete Section 2 below.

Section 2: Consent to contact by electronic methods:

Please indicate which electronic methods we may use to communicate with you, by ticking the relevant boxes below.

Email
SMS

If you have not ticked any one of the boxes in Section 2, we shall assume you do not agree to be contacted by that particular method of electronic communication.

If you leave all the boxes in Sections 1 and 2 blank, we shall assume that you wish only to be contacted by telephone or post.

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