PDF Download.
Associated Motorways Private Limited(AMW) would like to bring you the best of automotive products with the highest standards of Customer Service. In order for us to better understand your needs and expectations; please take a few minutes to fill in the following questionnaire and return same to us directly or any of our branches.
Inquiry about: NISSAN SUZUKI MARUTI YAMAHA PIAGGIO NEW HOLLAND OTHER PRODUCT
Salutation: Mr. Mrs. Ms. Dr. Prof. Ven. Rev. Other
First Name *
Other Name
Surname *
Name With Initials *
NIC Number *
Date of Birth *
Postal address of residence
House No
Street
City *
District
Province: WP CP SP NP EP UP NCP NWP SBP
Contact Details
Mobile No *
Email *
Education : Secondary Graduate Post Graduate Professional
Household Income (LKR, in thousands)
15-30K 30-50K 50-75K 75-100K 100-200K
Does he / she drive : YES NO
Date of anniversary
Marital Status : Married Single
Spouse's Name
Names of Children and their Date of Birth
Names
Dates of Birth
a]
b]
c]
Preferred Language of Communication : Sinhala Tamil English
Occupation / Profession
Employer / Company
Position within the company : Owner Director C-Level Senior Middle Executive Officer Clerical
Is the vehicle owned or company provided ? Own Leased Rented Company
Current Vehicle
Registration No
Make
Model
Mileage
Where do you service your vehicle ?
Where do you repair your vehicle ?
Year of Manufacture
Year of First Registration
Brand New Reconditioned
Preferred Media
TV:
Magazines
Press Media:
Others
Radio
Preferred Media Type
TV Radio Press Magazines Others
Thank you for your time. All information provided shall be treated with strict confidence and shall be used solely for the purpose of gearing AMW's service standards to better suit our customers' requirements as well as for marketing and promotional activities carried out by AMW.
NIC *
Loyalty Number *
