[et_pb_section bb_built=”1″ _builder_version=”3.0.47″ next_background_color=”#000000″][et_pb_row _builder_version=”3.0.106″][et_pb_column type=”4_4″][et_pb_text _builder_version=”3.0.106″]
Did you purchase, finance, or lease a new or used VW, Audi, Skoda or SEAT between 2008-2015?
All fields marked * are required!
Fill out our quick registration form below to make sure you are on our list to claim compensation.
[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row _builder_version=”3.0.106″][et_pb_column type=”4_4″][et_pb_contact_form email=”info@keymarketingsolutions.co.uk” success_message=”Thanks for registering your claim. One of our specialists will contact you within the next 7 days.” submit_button_text=”REGISTER MY DETAILS” module_id=”et_pb_contact_form_0″ _builder_version=”3.0.106″ title_font=”||||||||”][et_pb_contact_field field_id=”Name” field_title=”Name” fullwidth_field=”on” _builder_version=”3.0.106″][/et_pb_contact_field][et_pb_contact_field field_id=”Email_Address” field_title=”Email Address” fullwidth_field=”on” _builder_version=”3.0.106″][/et_pb_contact_field][et_pb_contact_field field_id=”House_Number” field_title=”House number” fullwidth_field=”on” _builder_version=”3.0.106″][/et_pb_contact_field][et_pb_contact_field field_id=”Street_Name” field_title=”Street Name” fullwidth_field=”on” _builder_version=”3.0.106″][/et_pb_contact_field][et_pb_contact_field field_id=”Town” field_title=”Town” fullwidth_field=”on” _builder_version=”3.0.106″][/et_pb_contact_field][et_pb_contact_field field_id=”Postcode” field_title=”Postcode” fullwidth_field=”on” _builder_version=”3.0.106″][/et_pb_contact_field][et_pb_contact_field field_id=”Telephone” field_title=”Telephone” allowed_symbols=”numbers” fullwidth_field=”on” _builder_version=”3.0.106″][/et_pb_contact_field][et_pb_contact_field field_id=”*_Vehicle_Registration” field_title=”* Vehicle Registration” fullwidth_field=”on” _builder_version=”3.0.106″][/et_pb_contact_field][et_pb_contact_field field_id=”*_Select_Your_Vehicle?” field_title=”* Select Your Vehicle?” field_type=”select” select_options=”%91{%22value%22:%22Audi A1%22,%22checked%22:0,%22dragID%22:0},{%22value%22:%22Audi A3 (2010 -2015)%22,%22checked%22:0,%22dragID%22:1},{%22value%22:%22Audi A3 Cabrio (2010 – 2015)%22,%22checked%22:0,%22dragID%22:2},{%22value%22:%22Audi A4 (2008 – 2018)%22,%22checked%22:0,%22dragID%22:3},{%22value%22:%22Audi A5 (2008 – 2015)%22,%22checked%22:0,%22dragID%22:4},{%22value%22:%22Audi A6 (2011 – 2015)%22,%22checked%22:0,%22dragID%22:5},{%22value%22:%22Audi A6 Quattro (2014 – 2016)%22,%22checked%22:0,%22dragID%22:6},{%22value%22:%22Audi A7 Quattro (2014 – 2016)%22,%22checked%22:0,%22dragID%22:7},{%22value%22:%22Audi A8 (2014 – 2016)%22,%22checked%22:0,%22dragID%22:8},{%22value%22:%22Audi A8L (2014 – 2016)%22,%22checked%22:0,%22dragID%22:9},{%22value%22:%22Audi Q3 (2011 – 2015)%22,%22checked%22:0,%22dragID%22:10},{%22value%22:%22Audi Q5 (2009 – 2012)%22,%22checked%22:0,%22dragID%22:11},{%22value%22:%22Audi Q5 (2014 – 2016)%22,%22checked%22:0,%22dragID%22:12},{%22value%22:%22Audi Q7 (2009 – 2016)%22,%22checked%22:0,%22dragID%22:13},{%22value%22:%22Audi TT (2008 – 2014)%22,%22checked%22:0,%22dragID%22:14},{%22value%22:%22Porche Cayenne (2013 – 2016)%22,%22checked%22:0,%22dragID%22:15},{%22value%22:%22Seat Altea (2009 – 2014)%22,%22checked%22:0,%22dragID%22:16},{%22value%22:%22Seat Altea XL%22,%22checked%22:0,%22dragID%22:17},{%22value%22:%22Seat Alhambra (2010 – 2015)%22,%22checked%22:0,%22dragID%22:18},{%22value%22:%22Seat Exeo (2008- 2013)%22,%22checked%22:0,%22dragID%22:19},{%22value%22:%22Seat Ibiza%22,%22checked%22:0,%22dragID%22:26},{%22value%22:%22Seat Leon (2012 – 2015)%22,%22checked%22:0,%22dragID%22:25},{%22value%22:%22Seat Toledo%22,%22checked%22:0,%22dragID%22:24},{%22value%22:%22Skoda Fabia%22,%22checked%22:0,%22dragID%22:23},{%22value%22:%22Skoda Octavia (2009 – 2013)%22,%22checked%22:0,%22dragID%22:22},{%22value%22:%22Skoda Rapid%22,%22checked%22:0,%22dragID%22:21},{%22value%22:%22Skoda Roomster%22,%22checked%22:0,%22dragID%22:20},{%22value%22:%22Skoda Superb (2008 – 2015)%22,%22checked%22:0,%22dragID%22:27},{%22value%22:%22Skoda Yeti (2009 – 2013)%22,%22checked%22:0,%22dragID%22:28},{%22value%22:%22VW Beetle (2009 – 2015)%22,%22checked%22:0,%22dragID%22:29},{%22value%22:%22Beetle Convertible%22,%22checked%22:0,%22dragID%22:30},{%22value%22:%22VW CC (2012 – 2015)%22,%22checked%22:0,%22dragID%22:31},{%22value%22:%22VW EOS (2009 – 2014)%22,%22checked%22:0,%22dragID%22:32},{%22value%22:%22VW GOLF 2009 – 2015%22,%22checked%22:0,%22dragID%22:33},{%22value%22:%22VW JETTA 2009 – 2015%22,%22checked%22:0,%22dragID%22:34},{%22value%22:%22VW PASSAT 2009 – 2015%22,%22checked%22:0,%22dragID%22:35},{%22value%22:%22VW POLO %22,%22checked%22:0,%22dragID%22:36},{%22value%22:%22VW SCIROCCO (2009 – 2015)%22,%22checked%22:0,%22dragID%22:37},{%22value%22:%22VW SHARAN (2009 – 2015)%22,%22checked%22:0,%22dragID%22:38},{%22value%22:%22VW TIGUAN (2009 – 2015)%22,%22checked%22:0,%22dragID%22:39},{%22value%22:%22VW TOUAREG (2009 – 2016)%22,%22checked%22:0,%22dragID%22:40},{%22value%22:%22VW TOURAN (2010 – 2015)%22,%22checked%22:0,%22dragID%22:41}%93″ fullwidth_field=”on” _builder_version=”3.0.106″][/et_pb_contact_field][et_pb_contact_field field_id=”Which_Dealership_/_Garage_was_Vehicle_Purchased?” field_title=”Which Dealership / Garage was Vehicle Purchased?” fullwidth_field=”on” _builder_version=”3.0.106″ form_field_font=”||||||||”][/et_pb_contact_field][et_pb_contact_field field_id=”Vehicle’s_VIN_(If_known)” field_title=”Vehicle’s VIN (If known)” required_mark=”off” fullwidth_field=”on” _builder_version=”3.0.106″][/et_pb_contact_field][et_pb_contact_field field_id=”*_Year_Vehicle_Purchased” field_title=”* Year Vehicle Purchased” max_length=”4″ allowed_symbols=”numbers” fullwidth_field=”on” _builder_version=”3.0.106″][/et_pb_contact_field][et_pb_contact_field field_id=”Did_Performance_&_Emissions_Affect_Decision_to_Buy_Vehicle?” field_title=”Did Performance & Emissions Affect Decision to Buy Vehicle?” field_type=”checkbox” checkbox_options=”%91{%22value%22:%22Yes%22,%22checked%22:0,%22dragID%22:0},{%22value%22:%22No%22,%22checked%22:0,%22dragID%22:1}%93″ fullwidth_field=”on” _builder_version=”3.0.106″][/et_pb_contact_field][et_pb_contact_field field_id=”How_much_did_you_Pay_for_the_Vehicle?” field_title=”How much did you Pay for the Vehicle?” field_type=”select” select_options=”%91{%22value%22:%22Between £1,000 – £5,000%22,%22checked%22:0,%22dragID%22:0},{%22value%22:%22Between £5,000 to £10,000%22,%22checked%22:0,%22dragID%22:1},{%22value%22:%22Between £10,000 to £20,000%22,%22checked%22:0,%22dragID%22:2},{%22value%22:%22Between £20,000 to £30,000%22,%22checked%22:0,%22dragID%22:3},{%22value%22:%22Between £30,000 to £45,000%22,%22checked%22:0,%22dragID%22:4},{%22value%22:%22Between £45,000 to £60,000%22,%22checked%22:0,%22dragID%22:5}%93″ fullwidth_field=”on” _builder_version=”3.0.106″][/et_pb_contact_field][et_pb_contact_field field_id=”*_Bought_as_New_or_Second_Hand?” field_title=”* Bought as New or Second Hand?” field_type=”checkbox” checkbox_options=”%91{%22value%22:%22New%22,%22checked%22:0,%22dragID%22:0},{%22value%22:%22Second Hand%22,%22checked%22:0,%22dragID%22:1}%93″ fullwidth_field=”on” _builder_version=”3.0.106″][/et_pb_contact_field][et_pb_contact_field field_id=”How_did_you_feel_about_the_VW_scandal?” field_title=”How did you feel about the VW scandal?” required_mark=”off” fullwidth_field=”on” _builder_version=”3.0.106″][/et_pb_contact_field][et_pb_contact_field field_id=”*_Purchase_of_Vehicle_Financed?” field_title=”* Purchase of Vehicle Financed?” field_type=”select” select_options=”%91{%22value%22:%22Car Finance%22,%22checked%22:0,%22dragID%22:0},{%22value%22:%22Lease%22,%22checked%22:0,%22dragID%22:1},{%22value%22:%22Cash%22,%22checked%22:0,%22dragID%22:2},{%22value%22:%22Trade In%22,%22checked%22:0,%22dragID%22:3}%93″ fullwidth_field=”on” _builder_version=”3.0.106″][/et_pb_contact_field][/et_pb_contact_form][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section bb_built=”1″ fullwidth=”on” _builder_version=”3.0.106″ prev_background_color=”#000000″][et_pb_fullwidth_image _builder_version=”3.0.106″ /][/et_pb_section]