Personal Name First name

Customer

           
  House N°   Post Code
Street name
  Add. address 1
  Add. address 2
  Town        
  County   Country  
         
  Phones   (home) (work)  
    (mobile) (fax)  
  Mail (personal)      
     
  Comments  

Vehicles
> add
> delete
Vehicle No. Average of annual km
Make Own vehicle
Model MOT Due Date
Engine size Date of registration
V.I.N    

History
Date Car Pricing Intervention Price Comments Center
06/08/2000 R21 AA Précontrôle technique 450 Echappement à surveiller Clermont
15/05/2000 R21 AA Vidange 150 Usure pneu avant droit Clermont
20/12/1999 Uno Pneumatiques 1200 Ok Clermont