*Nome:  Email:  *Telefone:  Morada:  Cód. Postal:  -- *Data:  DD-MM-AAAA *Hora:  HH:MM *Local: Forte da CasaSanta Iria Fazer ensaio com * ** Todos **Agila Enjoy Aut. 1.2 16v 86cv MY11Agila Essentia 1.0 12v 65cv MY11Astra 1.6 Cosmo Plus Carav Easy MY10.5Astra 1.6 Cosmo Plus Carav Easy MY11Astra 1.6 Cosmo Plus Caravan MY10.5Astra 1.6 Turbo CosmoPlus Carav MY10.5Astra Cosmo 1.3 CDTi DPF 5p MY10.5Astra Cosmo 1.3 CDTi DPF 5p MY11Astra Cosmo 1.4 100cv 5p MY10.5Astra Cosmo 1.4 100cv 5p MY11Astra Cosmo 1.4 Turbo 5p MY10.5Astra Cosmo 1.4 Turbo 5p MY11Astra Cosmo 1.4 Turbo Aut 5p MY11Astra Cosmo 1.6 Turbo 5p Aut MY10.5Astra Cosmo 1.6 Turbo 5p MY10.5Astra Cosmo 1.6 Turbo 5p Aut MY11Astra Cosmo 1.6 Turbo 5p MY11Astra Cosmo 1.7CDTi 125cv 5p MY11Astra Cosmo 1.7CDTi 5p 125cv MY10.5Astra Cosmo 2.0CDTi 5p Aut MY10.5Astra Cosmo 2.0CDTi 5p Aut MY11Astra Cosmo 2.0CDTi 5p MY10.5Astra Cosmo 2.0CDTi 5p MY11Astra Cosmo Plus 1.4 Caravan MY10.5Astra Cosmo Plus 1.4 Caravan MY11Astra Cosmo Plus 1.7 Eco Carav MY10.5Astra Cosmo Plus 1.7 Eco Carav MY11Astra Cosmo Plus 1.7CDTi Carav MY10.5Astra Cosmo Plus 1.7CDTi Carav MY11Astra Cosmo Plus 1.9CDTi Carav Aut MY10.5Astra Cosmo Plus 1.9CDTi Carav Aut MY11Astra Cosmo Plus 1.9CDTi Carav MY10.5Astra Cosmo Plus 1.9CDTi Carav MY11Astra Enjoy 1.3CDTi DPF 5p MY10.5Astra Enjoy 1.3CDTi DPF 5p MY11Astra Enjoy 1.4 100cv 5p MY10.5Astra Enjoy 1.4 100cv 5p MY11Astra Enjoy 1.4 Caravan MY10.5Astra Enjoy 1.4 Caravan MY11Astra Enjoy 1.7CDTi 125cv 5p MY10.5Astra Enjoy 1.7CDTi 125cv 5p MY11Astra Enjoy 1.9CDTi Carav Aut MY10.5Astra Enjoy eco 1.3CDTi Carv MY10.5Astra Enjoy eco 1.3CDTi Carv MY11Astra GTC 1.4 16v 3p Easyt MY10.5Astra GTC 1.4 16v 3p Easyt MY11Astra GTC 1.4 16v 3p MY10.5Astra GTC 1.4 16v 3p MY11Astra GTC 1.6 16v 3p Easyt MY10.5Astra GTC 1.6 16v 3p Easyt MY11Astra GTC 1.6 Turbo 3p MY10.5Astra GTC 1.6 Turbo 3p MY11Astra GTC 1.7 CDTi 110 3p MY10.5Astra GTC 1.7 CDTi 110 3p MY11Astra GTC 1.7 CDTi 125 3p MY10.5Astra GTC 1.7 CDTi 125 3p MY11Astra GTC 1.9 CDTi 150 3p MY10.5Astra GTC 1.9 CDTi 150 3p MY11Astra GTC 1.9 CDTi 3p Aut MY10.5Astra GTC 1.9 CDTi 3p Aut MY11Astra Sport Van 1.3 CDTi 90 3p MY10.5Astra Sport Van 1.3 CDTi 90 3p MY11Astra Sport Van 1.7 CDTi 3p MY10.5Astra Sport Van 1.7 CDTi 3p MY11Astra Sport Van 1.9 CDTi 3p MY10.5Astra Sport Van 1.9 CDTi 3p MY11Combo Tour 1.3 CDTi 75 5p Easyt MY10Combo Tour 1.3 CDTi 75 5p Easyt MY11Combo Tour 1.3 CDTi 75 5p MY10Combo Tour 1.3 CDTi 75 5p MY11Combo Van 1.3 CDTi 75 3p MY10.5Combo Van 1.3 CDTi 75 3p MY11Combo Van 1.3CDTi 75 3p Easyt MY10.5Combo Van 1.3CDTi 75 3p Easyt MY11Combo Van 1.7 CDTi 100 3p MY10.5Combo Van 1.7 CDTi 100 3p MY11Corsa 1.2 80 5p Flexfuel MY10.5Corsa 1.2 80 5p Flexfuel MY11Corsa Black Edit. 1.2 3p Easy MY10.5Corsa Black Edit. 1.2 3p Easy MY11Corsa Black Editio 1.4 3p Aut MY10.5Corsa Black Editio 1.4 3p Aut MY11Corsa Black Editio 1.7CDTi 3p MY10.5Corsa Black Editio 1.7CDTi 3p MY11Corsa Black Edition 1.2 85 3p MY10.5Corsa Black Edition 1.2 85 3p MY11Corsa Black Edition 1.3CDTi 3p MY10.5Corsa Black Edition 1.3CDTi 3p MY11Corsa Black Edition 1.4 3p MY10.5Corsa Black Edition 1.4 3p MY11Corsa Color Race 1.2 85 3p Easytronic MY10.5Corsa Color Race 1.2 85 3p Easytronic MY11Corsa Color Race 1.2 85 3p MY10.5Corsa Color Race 1.2 85 3p MY11Corsa Color Race 1.3CDTi 3p MY10.5Corsa Color Race 1.3CDTi 3p MY11Corsa Color Race 1.4 3p Aut MY10.5Corsa Color Race 1.4 3p Aut MY11Corsa Color Race 1.4 3p MY10.5Corsa Color Race 1.4 3p MY11Corsa Color Race 1.7CDTi 3p MY10.5Corsa Color Race 1.7CDTi 3p MY11Corsa Cosmo 111 1.2 5p Easy MY10.5Corsa Cosmo 111 1.2 5p Easy MY11Corsa Cosmo 111 1.2 85 5p MY10.5Corsa Cosmo 111 1.2 85 5p MY11Corsa Cosmo 111 1.4 5p Aut MY10.5Corsa Cosmo 111 1.4 5p Aut MY11Corsa Cosmo 111 1.4 5p MY10.5Corsa Cosmo 111 1.4 5p MY11Corsa Cosmo 111 1.7CDTi 5p MY10.5Corsa Cosmo 111 1.7CDTi 5p MY11Corsa Enjoy 1.2 85 5p Easyt MY10.5Corsa Enjoy 1.2 85 5p Easyt MY11Corsa Enjoy 1.2 85 5p MY10.5Corsa Enjoy 1.2 85 5p MY11Corsa Enjoy 1.3 CDTi 95 5p MY10.5Corsa Enjoy 1.3 CDTi 95 5p MY11Corsa Van 1.0 3p MY10.5Corsa Van 1.0 3p MY11Corsa Van 1.2 3p MY10.5Corsa Van 1.2 3p MY11Corsa Van 1.3 CDTi 75 3p MY10.5Corsa Van 1.3 CDTi 75 3p MY11Corsa Van 1.3 CDTi Black Ed 3p MY10.5Corsa Van 1.3 CDTi Black Ed 3p MY11Corsa Van Sport 1.3CDTi 75 3p MY10.5Corsa Van Sport 1.3CDTi 75 3p MY11Corsa Van Sport 1.3CDTi 90 3p MY10.5Corsa Van Sport 1.3CDTi 90 3p MY11Insignia Cosm 2.0CDTI 130 4p Aut MY10,5Insignia Cosm 2.0CDTI 130 4p Aut MY11Insignia Cosm 2.0CDTI 160 4p Aut MY10,5Insignia Cosm 2.0CDTI 160 4p Aut MY11Insignia Cosmo 1.6 Turbo 4p MY10,5Insignia Cosmo 1.6 Turbo 4p MY11Insignia Cosmo 2.0 CDTI 130cv 4p MY11Insignia Cosmo 2.0 CDTI 160cv 4p MY11Insignia Cosmo 2.0 Turbo 220 4p MY10,5Insignia Cosmo 2.0 V6 160cv 4p MY11Insignia Cosmo 2.0CDTI 130cv 4p MY10,5Insignia Cosmo 2.0T 220cv 4p Aut MY10,5Insignia Cosmo 2.8 V6 260 4p Aut MY10,5Insignia Cosmo 2.8 V6 260 4p Aut MY11Insignia Cosmo 2.8 V6 260cv 4p MY10,5Insignia Cosmo 2.8 V6 260cv 4p MY11Insignia Edition 1.6 4p MY10,5Insignia Edition 1.6 4p MY11Insignia Edition 1.6 Turbo 4p MY10,5Insignia Edition 1.6 Turbo 4p MY11Insignia Edition 2.0CDTI 130 4p MY10,5Insignia Edition 2.0CDTI 130 4p MY11Insignia Edt 2.0CDTI 130 4p Aut MY10,5Insignia Edt 2.0CDTI 130 4p Aut MY11Insignia OPC 2.8 V6 325cv 4p MY10,5Insignia OPC 2.8 V6 325cv Station 5p MY10,5Insignia Sport 2.0 CDTI 160cv 4p MY11Insignia Sport 2.0 Turbo 220 4p MY10,5Insignia Sport 2.0T 220 4p Aut MY10,5Insignia Sport 2.0T 220 4p Aut MY11Insignia Sport 2.8 V6 260 4p Aut MY10,5Insignia Sport 2.8 V6 260cv 4p MY10,5Insignia Sport 2.8 V6 260cv 4p MY11Insignia ST Sport 2.0 160cv MY11Insignia ST Sport 2.8 260cv MY10,5Insignia ST Sport 2.8 260cv MY11Insignia STour Cos 2.0CDTI EFlex MY10,5Insignia STour Cos 2.0CDTI EFlex MY11Insignia STour Cosmo 1.6 Turbo MY10,5Insignia STour Cosmo 1.6 Turbo MY11Insignia STour Cosmo 2.0 CDTI 160cv MY11Insignia STour Cosmo 2.0 T Aut MY10,5Insignia STour Cosmo 2.0 Turbo MY10,5Insignia STour Cosmo 2.0CDTI Aut MY10,5Insignia STour Cosmo 2.0CDTI Aut MY10,5Insignia STour Cosmo 2.0CDTI Aut MY11Insignia STour Cosmo 2.0CDTI Aut MY11Insignia STour Cosmo 2.0CDTI MY10,5Insignia STour Cosmo 2.0CDTI MY11Insignia STour Cosmo 2.8 260cv MY10,5Insignia STour Cosmo 2.8 260cv MY11Insignia STour Cosmo 2.8 V6 Aut MY10,5Insignia STour Cosmo 2.8 V6 Aut MY11Insignia STour Edi 2.0CDTI EFlex MY10,5Insignia STour Edi 2.0CDTI EFlex MY11Insignia STour Edit 2.0CDTI Aut MY10,5Insignia STour Edit 2.0CDTI Aut MY11Insignia STour Edition 1.6 Turbo MY10,5Insignia STour Edition 1.6 Turbo MY11Insignia STour Sport 2.0 T Aut MY10,5Insignia STour Sport 2.0 Turbo MY10,5Insignia STour Sport 2.8 V6 Aut MY10,5Insignia STour Sport 2.8 V6 Aut MY11Meriva Cosmo 1.3CDTi (95) 5p MY11Meriva Cosmo 1.4 Twinport (100) 5p MY11Meriva Cosmo 1.4 Twinport (140) 5p MY11Meriva Cosmo 1.7CDTi (130) 5p MY11Meriva Enjoy 1.3CDTi (95) 5p MY11Meriva Enjoy 1.4 Twinport (100) 5p MY11Movano Van L2H2 3.3T 2.3CDTi 100Movano Van L2H2 3.3T 2.3CDTi 125Movano Van L2H2 3.5T 2.3CDTi 100Movano Van L2H2 3.5T 2.3CDTi 125Movano Van L3H2 3.5T 2.3CDTi 125Movano Van L3H2 3.5T 2.3CDTi 125 RWMovano Van L3H2 3.5T 2.3CDTi 146 RWVivaro Combi 9L L1H12.9T2.0CDTi MY11Vivaro Combi6L L1H1 2.7T 2.0CDTi MY11Vivaro Combi6L L1H1 2.7T2.0CDTi 114 MY11Vivaro Combi6L L1H1 2.9T1.9CDTi 114 MY11Vivaro Combi6L L1H1 2.9T2.0CDTi 114 Aut MY11Vivaro Combi6L L1H1 2.9T2.0CDTi 90 MY11Vivaro Combi6L L1H12.7T2.0CDTi aut MY11Vivaro Combi6L L2H1 2.9T2.0CDTi 114 MY11Vivaro Combi6L L2H12.9T 2.0CDTi 90 MY11Vivaro Combi9L L1H1 2.7T2.0CDTi 114 Aut MY11Vivaro Combi9L L1H1 2.7T2.0CDTi 114 MY11Vivaro Combi9L L1H1 2.7T2.0CDTi 90 MY11Vivaro Combi9L L1H1 2.9T2.0CDTi 90 MY11Vivaro Combi9L L1H12.9T2.0CDTi Aut MY11Vivaro Combi9L L2H1 2.9T2.0CDTi 114 MY11Vivaro Combi9L L2H1 2.9T2.0CDTi 90 MY11Vivaro TourL1H1 2.7T2.0CDTi 114 MY11Vivaro TourL1H1 2.7T2.0CDTi 90 MY11Vivaro Van L1H12.7T 2.0CDTi Aut MY11Vivaro Van L1H12.7T 2.0CDTi114 MY11Vivaro Van L1H12.7T 2.5CDTi146 MY11Vivaro Van L1H12.9T 2.0CDTi 114 Aut MY11Vivaro Van L1H12.9T 2.0CDTi 114 MY11Vivaro Van L1H12.9T 2.5CDTi146 MY11Vivaro Van L2H12.9T 2.0CDTi114 MY11Vivaro Van L2H12.9T 2.5CDTi 146MY11Vivaro VanCD L1H12.7T 2.0CDTi 90 MY11Vivaro VanCD L1H12.7T 2.0CDTi Aut. MY11Vivaro VanCD L1H12.7T 2.0CDTi MY11Vivaro VanCD L1H12.9T 2.0CDTi 114 MY11Vivaro VanCD L1H12.9T 2.0CDTi 90 MY11Vivaro VanCD L1H12.9T 2.0CDTi Aut MY11Vivaro VanCD L2H12.9T 2.0CDTi 114 MY11Vivaro VanCD L2H12.9T 2.0CDTi 90 MY11Vivaro VanL1H1 2.7T 2.0CDTi 90 MY11Vivaro VanL1H1 2.9T 2.0CDTi 90 MY11Vivaro VanL2H1 2.9T 2.0CDTi 90 MY11Zafira 1.6 5p MY10.5Zafira 1.6 5p MY11Zafira 1.7CDTI 110 ecoFLEX MY10.5Zafira 1.7CDTI 110 ecoFLEX MY11Zafira 1.9CDTI 120 5p Aut MY10.5Zafira 1.9CDTI 120 5p Aut MY11Zafira 1.9CDTI DPF 150 5p MY10.5Zafira 1.9CDTI DPF 150 5p MY11 (*) Campos obrigatórios.

Rua Afonso Albuquerque -Lugar Forninhos | 2690 - 340 Santa Iria de Azoia | Tlf: 219533790 | Tlm: 961010215 | Fax: 219533799 | Email: geral@henriquegomes.com Rua Afonso de Albuquerque | Lugar dos forninhos | 2695-340 Santa Iria da Azóia| telf.:219533790/6| email: geral@henriquegomes.com