Maintenance Record Form

Full Name *

Phone Number *

+357

I don't have a Cyprus number

Format: +35795522888 (Cyprus format)

Vehicle Brand & Model *

Registration Number *

Format: XXX000 (3 letters + 3 digits, e.g., ABC123)

Preferred Date & Time *

Select date and time (8:00 - 16:00, lunch break 13:00)

Reason for Service *

Fields marked * are required!
This form allows you to submit your request, which is not confirmation of registration for the service.
Confirmation will be feedback from a representative of the AUTOLIFE car service center and confirmation of the date and time.
Feedback can be by phone or through a messenger linked to the specified phone number.