Auto Knight Motor Club
 
Auto Knight Motor Club

Roadside Assistance

Please Fill in the Information Below to Register Your Vehicle

Provider: Drivers ConeXion


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CONTACT INFORMATION
NOTE: ALL FIELDS EXCEPT THE SECOND ADDRESS LINE ARE REQUIRED.
ACTIVATION CODE:
(you can find this code on your Roadside Assistance Card)
CUSTOMER NAME:  
MAILING ADDRESS:  
MAILING ADDRESS 2:  
CITY:  
PROVINCE:  
POSTAL CODE:  
PHONE NUMBER:  
EMAIL ADDRESS:  
FACILITY:
(Servicing Facility / Oil Change Facility / Service Center)
DATE OF SERVICE:
(please use this format: 01/01/2008)		  

VEHICLE INFORMATION
 
YEAR
MAKE
MODEL
MILEAGE
VEHICLE ONE

OTHER INFORMATION
I have read and agree to the complete terms and conditions governing the V-Safe Roadside Assistance Program (REQUIRED).
It is ok to contact me to remind me when my V-Safe Roadside Assistance Program coverage is about to expire as well as to provide me with Valvoline coupons, promotions and communications
         

NOTE: One vehicle registration per Activation code. If you have more vehicles you'd like to register, please fill out this form with a new activation code for each vehicle that you'd like to register.
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