Service Booking Request
Full Name:
Mr.
Mrs.
Ms.
Mdm.
Dr.
Prof.
Vehicle Number:
Vehicle Model:
Captur
Clio
Clio RS
Modus
Megane
Megane GT
Megane GT-Line
Megane Sedan
Megane Hatchback
Megane CC
Megane R.S.
Fluence
Fluence Z.E.
Latitude
Scenic
Grand Scenic
Koleos
Laguna
Laguna Coupe
Kadjar
Kangoo
Kangoo WAV
Kangoo Z.E.
ZOE
Trafic
Master
Others
Contact Number:
Home
Office
Mobile
Email:
Note: An email will be sent to you upon successful service request submission.
Preferred Mode of Contact:
Call
Email
SMS
Service Request Type:
Service Maintenance
Mechanical Repair
Body & Paint Repair
Additional Comments:
Venue:
Renault Showroom & Service Centre, 45 Leng Kee Road Singapore 159103
Service Advisor (Preference, if any):
Dennis Ngan
Peh Eng Hwee
Azlan Bin Othman
Rashid Bin Othman
Rakeswaran Anand
Preferred Appointment (Date/Time):
Preference 1
Date:
Time:
:
Preference 2
Date:
Time:
:
Additional Arrangements:
Taxi Booking (charges apply)
Submit
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