AA Membership Form - Speedy Motors, Kingdom Of Bahrain





Contact Us Still have an question? Please do contact us for more details. Can't find Speedy Motors? Please click here to view the map of Kingdom of Bahrain where you can locate Speedy Motors. More About Us Want to know more about us, please read here in about us section. Community Forums Find here more details, articles and discussion. Service coming soon.

Welcome to AA, Application Form

Speedy Motors, Kingdom Of Bahrain.

Please submit below form and provide us much as details for contacts and verification purpose.

A.	Personal Details -
	Name
	Address
	C.P.R./Passport #
	Nationality
	Employer
	Occupation
B.	Contact Details -
	Home Telephone
	Mobile
	Work
	Email Address
C.	Details of vehicle to be covered -
	Make / Model
	Year
	Number Plate
	Chassis #
	Engine #
D.	Payment Details~ -
	I hereby authorize to charge BD10/- to my account
	Card Type
	Card Number
	Name as it appears on Card
	Expiry Date	(MM/YY)

* Terms and Conditions cover is for cars up to five years old. Click here to view it. * Membership will be confirmed after verification of Credit Card Details.

Please contact us for more details:

SPEEDY MOTOR SERVICE W.L.L.

P.O. Box - 800,

Manama, Kingdom of Bahrain.

Tel: +973 17682999 Fax: +973 17681000