Service Clinic Booking Form
22-26 April 2019 | 9am – 6pm | Asbenz Stern Kuantan (Service Centre)
Name *
Mobile Number *
Car Model * (C200, E250, etc)
Vehicle Registration Number *
Booking Date *
Please select
22/4/2019, Monday
23/4/2019, Tuesday
24/4/2019, Wednesday
25/4/2019, Thursday
26/4/2019, Friday
Time Slot *
Please select
AM
PM
Email Address
Submit