Road Test Request

Business Hours

Monday to Friday: 9 a.m. to 9 p.m.

Summer Schedule
from 2008 June, 24 to August, 31:
Friday: 9 a.m. to 6 p.m.

Fill this form and we will contact you as soon as possible.

*Fields marked with an asterisk are mandatory


First name:	*
Last name:	*
Address:
City:
Province:
Postal code:		(format : A9A 9A9)
Telephone:	*	- poste :
E-mail:	*
Desired vehicle:
Road test date: (YYYY/MM/DD)		/ / [Calendar]
Questions or comments:

YES! I want to receive information on future contests, surveys, special promotions and new content from "Acura Plus".

Acura Plus - 255, Boul. de la Seigneurie Ouest, Blainville, Québec, J7C 4N3 - Tel.: 1 866 601-9703 - Fax: 450 435-1060