www.riverinavolkswagen.com.au
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172.67.223.202
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Submitted URL: https://riverinavolkswagen.com.au/
Effective URL: http://www.riverinavolkswagen.com.au/
Submission: On May 14 via automatic, source certstream-suspicious — Scanned from AU
Effective URL: http://www.riverinavolkswagen.com.au/
Submission: On May 14 via automatic, source certstream-suspicious — Scanned from AU
Form analysis 9 forms found in the DOM
POST /ssl/forms/responsive_ajax/offer_enquiry.asp
<form action="/ssl/forms/responsive_ajax/offer_enquiry.asp" method="post" accept-charset="utf-8" id="offer_enquiry_form" class="enquiry company pure-form pure-form-aligned not-multi">
<div class="pure-g">
<div class="pure-u-1 pure-u-md-1-2 box-form-first-wrapper">
<fieldset class="personal">
<legend>Your Contact Details</legend>
<div class="pure-g">
<div class="pure-u-1 title-section">
<label for="fOfferEnq_Title">Title</label>
</div>
<div class="pure-u-1 value-section">
<select name="fOfferEnq_Title" id="fOfferEnq_Title">
<option value="">Please Select</option>
<option value="Mr">Mr</option>
<option value="Miss">Miss</option>
<option value="Mrs">Mrs</option>
<option value="Ms">Ms</option>
<option value="Other">Other</option>
</select>
</div>
</div>
<div class="pure-g">
<div class="pure-u-1 title-section">
<label for="fOfferEnq_FirstName">First Name<abbr title="Field Required">*</abbr></label>
</div>
<div class="pure-u-1 value-section">
<input class="pure-input-1" type="text" name="fOfferEnq_FirstName" value="" id="fOfferEnq_FirstName" maxlength="255" placeholder="" required="">
</div>
</div>
<div class="pure-g">
<div class="pure-u-1 title-section">
<label for="fOfferEnq_LastName">Last Name<abbr title="Field Required">*</abbr></label>
</div>
<div class="pure-u-1 value-section">
<input class="pure-input-1" type="text" name="fOfferEnq_LastName" value="" id="fOfferEnq_LastName" maxlength="255" placeholder="" required="">
</div>
</div>
<div class="pure-g">
<div class="pure-u-1 title-section">
<label for="fOfferEnq_Email">Email<abbr title="Field Required">*</abbr></label>
</div>
<div class="pure-u-1 value-section">
<input class="pure-input-1" type="email" name="fOfferEnq_Email" value="" id="fOfferEnq_Email" maxlength="255" placeholder="" required="">
</div>
</div>
<div class="pure-g">
<div class="pure-u-1 title-section">
<label for="fOfferEnq_Phone">Phone<abbr title="Field Required">*</abbr></label>
</div>
<div class="pure-u-1 value-section">
<input class="pure-input-1" type="tel" name="fOfferEnq_Phone" value="" id="fOfferEnq_Phone" maxlength="25" placeholder="" required="">
</div>
</div>
<div class="pure-g">
<div class="pure-u-1 title-section hidden">
<label for="fOfferEnq_EmptyCheck">Note</label>
</div>
<div class="pure-u-1 pure-u-lg-2-3 box-form-first-sm hidden">
<input class="pure-input-1" type="text" name="fOfferEnq_EmptyCheck" value="" id="fOfferEnq_EmptyCheck" maxlength="255">
</div>
</div>
</fieldset>
</div>
<div class="pure-u-1 pure-u-md-1-2 box-form-last-wrapper">
<fieldset class="additional">
<legend>Additional Information</legend>
<div class="pure-g">
<div class="pure-u-2-24 pure-u-sm-1-24 pure-u-md-2-24 pure-u-lg-1-24 box-form-first-sm">
<input type="checkbox" name="fOfferEnq_Marketing" id="fOfferEnq_Marketing.checkbox" value="True">
</div>
<div class="pure-u-22-24 pure-u-sm-23-24 pure-u-md-22-24 pure-u-lg-23-24 box-form-last-sm">
<label for="fOfferEnq_Marketing.checkbox">Yes, I would like to subscribe to receive latest offers & product updates.</label>
</div>
</div>
<div class="pure-g">
<div class="pure-u-2-24 pure-u-sm-1-24 pure-u-md-2-24 pure-u-lg-1-24 box-form-first-sm">
<input type="checkbox" name="fOfferEnq_Terms" id="fOfferEnq_Terms.checkbox" value="True" required="" oninvalid="this.setCustomValidity('You must agree with Terms Of Use to continue.')" onchange="this.setCustomValidity('')">
</div>
<div class="pure-u-22-24 pure-u-sm-23-24 pure-u-md-22-24 pure-u-lg-23-24 box-form-last-sm">
<label for="fOfferEnq_Terms.checkbox">I agree with the website <a href="/volkswagen/disclaimer/">terms of use</a> and that my information will be handled by Riverina Volkswagen in accordance with the
<a href="/volkswagen/privacy/">Dealer Privacy Policy</a>.<abbr title="Field Required">*</abbr></label>
</div>
</div>
<div class="pure-g">
<div class="pure-u-1">
<label for="fOfferEnq_Comment" class="full">Particular offer of interest or comment</label>
<textarea name="fOfferEnq_Comment" id="fOfferEnq_Comment" class="js-comment-box" rows="2" cols="30"></textarea>
</div>
</div>
<textarea class="js-special-info hidden" name="specialInfo" id="specialInfo"></textarea>
</fieldset>
<fieldset class="submit-wrapper">
<div class="information"><abbr title="Field Required">*</abbr> indicates a required field.</div>
<div class="privacy"><a href="/volkswagen/privacy/" target="_blank">Click to view Privacy Policy</a></div>
<input class="button-brand pure-button brand-submit-button btn-dark" type="submit" value="Submit">
</fieldset>
</div>
</div>
</form>POST /ssl/forms/responsive_ajax/vw/quote_enquiry.asp
<form action="/ssl/forms/responsive_ajax/vw/quote_enquiry.asp" method="post" accept-charset="utf-8" id="quote_enquiry_form" class="enquiry quote pure-form pure-form-aligned not-multi">
<div class="pure-g">
<div class="pure-u-1 pure-u-md-1-2 box-form-first-wrapper">
<fieldset class="personal">
<legend>Your Contact Details</legend>
<div class="pure-g">
<div class="pure-u-1 pure-u-lg-1-3 box-form-first-sm">
<label for="fQuoteEnq_Title">Title</label>
</div>
<div class="pure-u-1 pure-u-lg-2-3 box-form-last-sm">
<select name="fQuoteEnq_Title" id="fQuoteEnq_Title">
<option value="">Please Select</option>
<option value="Mr">Mr</option>
<option value="Miss">Miss</option>
<option value="Mrs">Mrs</option>
<option value="Ms">Ms</option>
<option value="Other">Other</option>
</select>
</div>
</div>
<div class="pure-g">
<div class="pure-u-1 pure-u-lg-1-3 box-form-first-sm">
<label for="fQuoteEnq_FirstName">First Name<abbr title="Field Required">*</abbr></label>
</div>
<div class="pure-u-1 pure-u-lg-2-3 box-form-last-sm">
<input class="pure-input-1" type="text" name="fQuoteEnq_FirstName" value="" id="fQuoteEnq_FirstName" maxlength="255" placeholder="First Name" required="">
</div>
</div>
<div class="pure-g">
<div class="pure-u-1 pure-u-lg-1-3 box-form-first-sm">
<label for="fQuoteEnq_LastName">Last Name<abbr title="Field Required">*</abbr></label>
</div>
<div class="pure-u-1 pure-u-lg-2-3 box-form-last-sm">
<input class="pure-input-1" type="text" name="fQuoteEnq_LastName" value="" id="fQuoteEnq_LastName" maxlength="255" placeholder="Last Name" required="">
</div>
</div>
<div class="pure-g">
<div class="pure-u-1 pure-u-lg-1-3 box-form-first-sm">
<label for="fQuoteEnq_Email">Email<abbr title="Field Required">*</abbr></label>
</div>
<div class="pure-u-1 pure-u-lg-2-3 box-form-last-sm">
<input class="pure-input-1" type="email" name="fQuoteEnq_Email" value="" id="fQuoteEnq_Email" maxlength="255" placeholder="Email Address" required="">
</div>
</div>
<div class="pure-g">
<div class="pure-u-1 pure-u-lg-1-3 box-form-first-sm">
<label for="fQuoteEnq_Phone">Phone<abbr title="Field Required">*</abbr></label>
</div>
<div class="pure-u-1 pure-u-lg-2-3 box-form-last-sm">
<input class="pure-input-1" type="tel" name="fQuoteEnq_Phone" value="" id="fQuoteEnq_Phone" maxlength="25" placeholder="Phone Number" required="">
</div>
</div>
<div class="pure-g">
<div class="pure-u-1 pure-u-lg-1-3 box-form-first-sm hidden">
<label for="fQuoteEnq_EmptyCheck">Note</label>
</div>
<div class="pure-u-1 pure-u-lg-2-3 box-form-last-sm hidden">
<input type="text" name="fQuoteEnq_EmptyCheck" value="" id="fQuoteEnq_EmptyCheck" maxlength="255">
</div>
</div>
</fieldset>
</div>
<div class="pure-u-1 pure-u-md-1-2 box-form-last-wrapper">
<fieldset class="quote">
<legend>Which vehicles are you interested in?<abbr title="Field Required">*</abbr></legend>
<div class="vehicle-list pure-g">
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fQuoteEnq_Models" id="fQuoteEnq_Models_103.checkbox" value="103">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fQuoteEnq_Models_103.checkbox">Polo</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fQuoteEnq_Models" id="fQuoteEnq_Models_108.checkbox" value="108">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fQuoteEnq_Models_108.checkbox">Polo GTI</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fQuoteEnq_Models" id="fQuoteEnq_Models_107.checkbox" value="107">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fQuoteEnq_Models_107.checkbox">Golf</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fQuoteEnq_Models" id="fQuoteEnq_Models_112.checkbox" value="112">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fQuoteEnq_Models_112.checkbox">Golf GTI</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fQuoteEnq_Models" id="fQuoteEnq_Models_123.checkbox" value="123">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fQuoteEnq_Models_123.checkbox">Golf R</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fQuoteEnq_Models" id="fQuoteEnq_Models_109.checkbox" value="109">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fQuoteEnq_Models_109.checkbox">Golf Wagon</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fQuoteEnq_Models" id="fQuoteEnq_Models_131.checkbox" value="131">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fQuoteEnq_Models_131.checkbox">Golf R Wagon </label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fQuoteEnq_Models" id="fQuoteEnq_Models_132.checkbox" value="132">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fQuoteEnq_Models_132.checkbox">Passat Alltrack</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fQuoteEnq_Models" id="fQuoteEnq_Models_133.checkbox" value="133">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fQuoteEnq_Models_133.checkbox">Passat Wagon</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fQuoteEnq_Models" id="fQuoteEnq_Models_119.checkbox" value="119">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fQuoteEnq_Models_119.checkbox">Arteon</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fQuoteEnq_Models" id="fQuoteEnq_Models_120.checkbox" value="120">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fQuoteEnq_Models_120.checkbox">Arteon Shooting Brake</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fQuoteEnq_Models" id="fQuoteEnq_Models_117.checkbox" value="117">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fQuoteEnq_Models_117.checkbox">Tiguan</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fQuoteEnq_Models" id="fQuoteEnq_Models_100.checkbox" value="100">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fQuoteEnq_Models_100.checkbox">Tiguan Allspace</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fQuoteEnq_Models" id="fQuoteEnq_Models_124.checkbox" value="124">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fQuoteEnq_Models_124.checkbox">Tiguan R</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fQuoteEnq_Models" id="fQuoteEnq_Models_102.checkbox" value="102">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fQuoteEnq_Models_102.checkbox">T-Cross</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fQuoteEnq_Models" id="fQuoteEnq_Models_97.checkbox" value="97">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fQuoteEnq_Models_97.checkbox">T-Roc</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fQuoteEnq_Models" id="fQuoteEnq_Models_130.checkbox" value="130">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fQuoteEnq_Models_130.checkbox">T-Roc R</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fQuoteEnq_Models" id="fQuoteEnq_Models_104.checkbox" value="104">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fQuoteEnq_Models_104.checkbox">Touareg</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fQuoteEnq_Models" id="fQuoteEnq_Models_91.checkbox" value="91">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fQuoteEnq_Models_91.checkbox">California</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fQuoteEnq_Models" id="fQuoteEnq_Models_129.checkbox" value="129">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fQuoteEnq_Models_129.checkbox">Crafter Kampervan</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fQuoteEnq_Models" id="fQuoteEnq_Models_126.checkbox" value="126">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fQuoteEnq_Models_126.checkbox">Amarok V6 W-Series</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fQuoteEnq_Models" id="fQuoteEnq_Models_127.checkbox" value="127">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fQuoteEnq_Models_127.checkbox">Amarok W580X</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fQuoteEnq_Models" id="fQuoteEnq_Models_89.checkbox" value="89">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fQuoteEnq_Models_89.checkbox">Multivan</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fQuoteEnq_Models" id="fQuoteEnq_Models_92.checkbox" value="92">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fQuoteEnq_Models_92.checkbox">Caravelle</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fQuoteEnq_Models" id="fQuoteEnq_Models_101.checkbox" value="101">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fQuoteEnq_Models_101.checkbox">Caddy</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fQuoteEnq_Models" id="fQuoteEnq_Models_51.checkbox" value="51">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fQuoteEnq_Models_51.checkbox">Caddy Cargo</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fQuoteEnq_Models" id="fQuoteEnq_Models_93.checkbox" value="93">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fQuoteEnq_Models_93.checkbox">Transporter</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fQuoteEnq_Models" id="fQuoteEnq_Models_94.checkbox" value="94">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fQuoteEnq_Models_94.checkbox">Transporter Cab Chassis</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fQuoteEnq_Models" id="fQuoteEnq_Models_114.checkbox" value="114">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fQuoteEnq_Models_114.checkbox">Crafter Van</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fQuoteEnq_Models" id="fQuoteEnq_Models_115.checkbox" value="115">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fQuoteEnq_Models_115.checkbox">Crafter Cab Chassis</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fQuoteEnq_Models" id="fQuoteEnq_Models_128.checkbox" value="128">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fQuoteEnq_Models_128.checkbox">All-New Amarok</label>
</div>
</div>
</div>
</div>
<div class="pure-g">
<div class="pure-u-2-24 pure-u-sm-1-24 pure-u-md-2-24 pure-u-lg-1-24 box-form-first-sm">
<input type="checkbox" name="fQuoteEnq_Marketing" id="fQuoteEnq_Marketing.checkbox" value="True">
</div>
<div class="pure-u-22-24 pure-u-sm-23-24 pure-u-md-22-24 pure-u-lg-23-24 box-form-last-sm">
<label for="fQuoteEnq_Marketing.checkbox">Yes, I would like to subscribe to receive latest offers & product updates.</label>
</div>
</div>
<div class="pure-g">
<div class="pure-u-2-24 pure-u-sm-1-24 pure-u-md-2-24 pure-u-lg-1-24 box-form-first-sm">
<input type="checkbox" name="fQuoteEnq_Terms" id="fQuoteEnq_Terms.checkbox" value="True" required="" oninvalid="this.setCustomValidity('You must agree with Terms Of Use to continue.')" onchange="this.setCustomValidity('')">
</div>
<div class="pure-u-22-24 pure-u-sm-23-24 pure-u-md-22-24 pure-u-lg-23-24 box-form-last-sm">
<label for="fQuoteEnq_Terms.checkbox">I agree with the website <a href="/volkswagen/disclaimer/">terms of use</a> and that my information will be handled by Riverina Volkswagen in accordance with the
<a href="/volkswagen/privacy/">Dealer Privacy Policy</a>.<abbr title="Field Required">*</abbr></label>
</div>
</div>
<div class="pure-g">
<div class="pure-u-1">
<label for="fQuoteEnq_Comment" class="full">Comments (maximum 1000 characters)</label>
<textarea name="fQuoteEnq_Comment" id="fQuoteEnq_Comment" class="js-comment-box" rows="2" cols="30"></textarea>
</div>
</div>
<textarea class="js-special-info hidden" name="specialInfo" id="specialInfo"></textarea>
</fieldset>
<fieldset class="submit-wrapper">
<input class="pure-button pure-button-primary button-brand" type="submit" value="Submit Enquiry">
<div class="information"><abbr title="Field Required">*</abbr> indicates a required field.</div>
<div class="privacy"><a href="/volkswagen/privacy/" target="_blank">Click to view Privacy Policy</a></div>
</fieldset>
</div>
</div>
</form>POST /ssl/forms/responsive_ajax/vw/brochure_enquiry.asp
<form action="/ssl/forms/responsive_ajax/vw/brochure_enquiry.asp" method="post" accept-charset="utf-8" id="brochure_enquiry_form" class="enquiry brochure pure-form pure-form-aligned not-multi">
<div class="pure-g">
<div class="pure-u-1 pure-u-md-1-2 box-form-first-wrapper">
<fieldset class="personal">
<legend>Your Contact Details</legend>
<div class="pure-g">
<div class="pure-u-1 pure-u-lg-1-3 box-form-first-sm">
<label for="fBrochureEnq_Title">Title</label>
</div>
<div class="pure-u-1 pure-u-lg-2-3 box-form-last-sm">
<select name="fBrochureEnq_Title" id="fBrochureEnq_Title">
<option value="">Please Select</option>
<option value="Mr">Mr</option>
<option value="Miss">Miss</option>
<option value="Mrs">Mrs</option>
<option value="Ms">Ms</option>
<option value="Other">Other</option>
</select>
</div>
</div>
<div class="pure-g">
<div class="pure-u-1 pure-u-lg-1-3 box-form-first-sm">
<label for="fBrochureEnq_FirstName">First Name<abbr title="Field Required">*</abbr></label>
</div>
<div class="pure-u-1 pure-u-lg-2-3 box-form-last-sm">
<input class="pure-input-1" type="text" name="fBrochureEnq_FirstName" value="" id="fBrochureEnq_FirstName" maxlength="255" placeholder="First Name" required="">
</div>
</div>
<div class="pure-g">
<div class="pure-u-1 pure-u-lg-1-3 box-form-first-sm">
<label for="fBrochureEnq_LastName">Last Name<abbr title="Field Required">*</abbr></label>
</div>
<div class="pure-u-1 pure-u-lg-2-3 box-form-last-sm">
<input class="pure-input-1" type="text" name="fBrochureEnq_LastName" value="" id="fBrochureEnq_LastName" maxlength="255" placeholder="Last Name" required="">
</div>
</div>
<div class="pure-g">
<div class="pure-u-1 pure-u-lg-1-3 box-form-first-sm">
<label for="fBrochureEnq_Email">Email<abbr title="Field Required">*</abbr></label>
</div>
<div class="pure-u-1 pure-u-lg-2-3 box-form-last-sm">
<input class="pure-input-1" type="email" name="fBrochureEnq_Email" value="" id="fBrochureEnq_Email" maxlength="255" placeholder="Email Address" required="">
</div>
</div>
<div class="pure-g">
<div class="pure-u-1 pure-u-lg-1-3 box-form-first-sm">
<label for="fBrochureEnq_Phone">Phone<abbr title="Field Required">*</abbr></label>
</div>
<div class="pure-u-1 pure-u-lg-2-3 box-form-last-sm">
<input class="pure-input-1" type="tel" name="fBrochureEnq_Phone" value="" id="fBrochureEnq_Phone" maxlength="25" placeholder="Phone Number" required="">
</div>
</div>
<div class="pure-g">
<div class="pure-u-1 pure-u-lg-1-3 box-form-first-sm hidden">
<label for="fBrochureEnq_EmptyCheck">Note</label>
</div>
<div class="pure-u-1 pure-u-lg-2-3 box-form-last-sm hidden">
<input type="text" name="fBrochureEnq_EmptyCheck" value="" id="fBrochureEnq_EmptyCheck" maxlength="255">
</div>
</div>
</fieldset>
</div>
<div class="pure-u-1 pure-u-md-1-2 box-form-last-wrapper">
<fieldset class="brochure">
<legend>Which vehicles are you interested in?<abbr title="Field Required">*</abbr></legend>
<div class="vehicle-list pure-g">
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fBrochureEnq_Models" id="fBrochureEnq_Models_103.checkbox" value="103">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fBrochureEnq_Models_103.checkbox">Polo</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fBrochureEnq_Models" id="fBrochureEnq_Models_108.checkbox" value="108">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fBrochureEnq_Models_108.checkbox">Polo GTI</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fBrochureEnq_Models" id="fBrochureEnq_Models_107.checkbox" value="107">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fBrochureEnq_Models_107.checkbox">Golf</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fBrochureEnq_Models" id="fBrochureEnq_Models_112.checkbox" value="112">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fBrochureEnq_Models_112.checkbox">Golf GTI</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fBrochureEnq_Models" id="fBrochureEnq_Models_123.checkbox" value="123">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fBrochureEnq_Models_123.checkbox">Golf R</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fBrochureEnq_Models" id="fBrochureEnq_Models_109.checkbox" value="109">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fBrochureEnq_Models_109.checkbox">Golf Wagon</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fBrochureEnq_Models" id="fBrochureEnq_Models_131.checkbox" value="131">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fBrochureEnq_Models_131.checkbox">Golf R Wagon </label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fBrochureEnq_Models" id="fBrochureEnq_Models_132.checkbox" value="132">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fBrochureEnq_Models_132.checkbox">Passat Alltrack</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fBrochureEnq_Models" id="fBrochureEnq_Models_133.checkbox" value="133">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fBrochureEnq_Models_133.checkbox">Passat Wagon</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fBrochureEnq_Models" id="fBrochureEnq_Models_119.checkbox" value="119">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fBrochureEnq_Models_119.checkbox">Arteon</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fBrochureEnq_Models" id="fBrochureEnq_Models_120.checkbox" value="120">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fBrochureEnq_Models_120.checkbox">Arteon Shooting Brake</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fBrochureEnq_Models" id="fBrochureEnq_Models_117.checkbox" value="117">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fBrochureEnq_Models_117.checkbox">Tiguan</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fBrochureEnq_Models" id="fBrochureEnq_Models_100.checkbox" value="100">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fBrochureEnq_Models_100.checkbox">Tiguan Allspace</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fBrochureEnq_Models" id="fBrochureEnq_Models_124.checkbox" value="124">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fBrochureEnq_Models_124.checkbox">Tiguan R</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fBrochureEnq_Models" id="fBrochureEnq_Models_102.checkbox" value="102">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fBrochureEnq_Models_102.checkbox">T-Cross</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fBrochureEnq_Models" id="fBrochureEnq_Models_97.checkbox" value="97">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fBrochureEnq_Models_97.checkbox">T-Roc</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fBrochureEnq_Models" id="fBrochureEnq_Models_130.checkbox" value="130">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fBrochureEnq_Models_130.checkbox">T-Roc R</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fBrochureEnq_Models" id="fBrochureEnq_Models_104.checkbox" value="104">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fBrochureEnq_Models_104.checkbox">Touareg</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fBrochureEnq_Models" id="fBrochureEnq_Models_91.checkbox" value="91">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fBrochureEnq_Models_91.checkbox">California</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fBrochureEnq_Models" id="fBrochureEnq_Models_129.checkbox" value="129">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fBrochureEnq_Models_129.checkbox">Crafter Kampervan</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fBrochureEnq_Models" id="fBrochureEnq_Models_126.checkbox" value="126">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fBrochureEnq_Models_126.checkbox">Amarok V6 W-Series</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fBrochureEnq_Models" id="fBrochureEnq_Models_127.checkbox" value="127">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fBrochureEnq_Models_127.checkbox">Amarok W580X</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fBrochureEnq_Models" id="fBrochureEnq_Models_89.checkbox" value="89">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fBrochureEnq_Models_89.checkbox">Multivan</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fBrochureEnq_Models" id="fBrochureEnq_Models_92.checkbox" value="92">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fBrochureEnq_Models_92.checkbox">Caravelle</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fBrochureEnq_Models" id="fBrochureEnq_Models_101.checkbox" value="101">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fBrochureEnq_Models_101.checkbox">Caddy</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fBrochureEnq_Models" id="fBrochureEnq_Models_51.checkbox" value="51">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fBrochureEnq_Models_51.checkbox">Caddy Cargo</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fBrochureEnq_Models" id="fBrochureEnq_Models_93.checkbox" value="93">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fBrochureEnq_Models_93.checkbox">Transporter</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fBrochureEnq_Models" id="fBrochureEnq_Models_94.checkbox" value="94">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fBrochureEnq_Models_94.checkbox">Transporter Cab Chassis</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fBrochureEnq_Models" id="fBrochureEnq_Models_114.checkbox" value="114">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fBrochureEnq_Models_114.checkbox">Crafter Van</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fBrochureEnq_Models" id="fBrochureEnq_Models_115.checkbox" value="115">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fBrochureEnq_Models_115.checkbox">Crafter Cab Chassis</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fBrochureEnq_Models" id="fBrochureEnq_Models_128.checkbox" value="128">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fBrochureEnq_Models_128.checkbox">All-New Amarok</label>
</div>
</div>
</div>
</div>
<div class="pure-g">
<div class="pure-u-2-24 pure-u-sm-1-24 pure-u-md-2-24 pure-u-lg-1-24 box-form-first-sm">
<input type="checkbox" name="fBrochureEnq_Marketing" id="fBrochureEnq_Marketing.checkbox" value="True">
</div>
<div class="pure-u-22-24 pure-u-sm-23-24 pure-u-md-22-24 pure-u-lg-23-24 box-form-last-sm">
<label for="fBrochureEnq_Marketing.checkbox">Yes, I would like to subscribe to receive latest offers & product updates.</label>
</div>
</div>
<div class="pure-g">
<div class="pure-u-2-24 pure-u-sm-1-24 pure-u-md-2-24 pure-u-lg-1-24 box-form-first-sm">
<input type="checkbox" name="fBrochureEnq_Terms" id="fBrochureEnq_Terms.checkbox" value="True" required="" oninvalid="this.setCustomValidity('You must agree with Terms of Use to continue.')" onchange="this.setCustomValidity('')">
</div>
<div class="pure-u-22-24 pure-u-sm-23-24 pure-u-md-22-24 pure-u-lg-23-24 box-form-last-sm">
<label for="fBrochureEnq_Terms.checkbox">I agree with the website <a href="/volkswagen/disclaimer/">terms of use</a> and that my information will be handled by Riverina Volkswagen in accordance with the
<a href="/volkswagen/privacy/">Dealer Privacy Policy</a>.<abbr title="Field Required">*</abbr></label>
</div>
</div>
<div class="pure-g">
<div class="pure-u-1">
<label for="fBrochureEnq_Comment" class="full">Comments (maximum 1000 characters)</label>
<textarea name="fBrochureEnq_Comment" id="fBrochureEnq_Comment" class="js-comment-box" rows="2" cols="30"></textarea>
</div>
</div>
<textarea class="js-special-info hidden" name="specialInfo" id="specialInfo"></textarea>
</fieldset>
<fieldset class="submit-wrapper">
<input class="pure-button pure-button-primary button-brand" type="submit" value="Submit Enquiry">
<div class="information"><abbr title="Field Required">*</abbr> indicates a required field.</div>
<div class="privacy"><a href="/volkswagen/privacy/" target="_blank">Click to view Privacy Policy</a></div>
</fieldset>
</div>
</div>
</form>POST /ssl/forms/responsive_ajax/vw/testdrive_enquiry.asp
<form action="/ssl/forms/responsive_ajax/vw/testdrive_enquiry.asp" method="post" accept-charset="utf-8" id="testdrive_enquiry_form" class="enquiry test-drive pure-form pure-form-aligned not-multi">
<div class="pure-g">
<div class="pure-u-1 pure-u-md-1-2 box-form-first-wrapper">
<fieldset class="personal">
<legend>Your Contact Details</legend>
<div class="pure-g">
<div class="pure-u-1 pure-u-lg-1-3 box-form-first-sm">
<label for="fTestDriveEnq_Title">Title</label>
</div>
<div class="pure-u-1 pure-u-lg-2-3 box-form-last-sm">
<select name="fTestDriveEnq_Title" id="fTestDriveEnq_Title">
<option value="">Please Select</option>
<option value="Mr">Mr</option>
<option value="Miss">Miss</option>
<option value="Mrs">Mrs</option>
<option value="Ms">Ms</option>
<option value="Other">Other</option>
</select>
</div>
</div>
<div class="pure-g">
<div class="pure-u-1 pure-u-lg-1-3 box-form-first-sm">
<label for="fTestDriveEnq_FirstName">First Name<abbr title="Field Required">*</abbr></label>
</div>
<div class="pure-u-1 pure-u-lg-2-3 box-form-last-sm">
<input class="pure-input-1" type="text" name="fTestDriveEnq_FirstName" value="" id="fTestDriveEnq_FirstName" maxlength="255" placeholder="First Name" required="">
</div>
</div>
<div class="pure-g">
<div class="pure-u-1 pure-u-lg-1-3 box-form-first-sm">
<label for="fTestDriveEnq_LastName">Last Name<abbr title="Field Required">*</abbr></label>
</div>
<div class="pure-u-1 pure-u-lg-2-3 box-form-last-sm">
<input class="pure-input-1" type="text" name="fTestDriveEnq_LastName" value="" id="fTestDriveEnq_LastName" maxlength="255" placeholder="Last Name" required="">
</div>
</div>
<div class="pure-g">
<div class="pure-u-1 pure-u-lg-1-3 box-form-first-sm">
<label for="fTestDriveEnq_Email">Email<abbr title="Field Required">*</abbr></label>
</div>
<div class="pure-u-1 pure-u-lg-2-3 box-form-last-sm">
<input class="pure-input-1" type="email" name="fTestDriveEnq_Email" value="" id="fTestDriveEnq_Email" maxlength="255" placeholder="Email Address" required="">
</div>
</div>
<div class="pure-g">
<div class="pure-u-1 pure-u-lg-1-3 box-form-first-sm">
<label for="fTestDriveEnq_Phone">Phone<abbr title="Field Required">*</abbr></label>
</div>
<div class="pure-u-1 pure-u-lg-2-3 box-form-last-sm">
<input class="pure-input-1" type="tel" name="fTestDriveEnq_Phone" value="" id="fTestDriveEnq_Phone" maxlength="25" placeholder="Phone Number" required="">
</div>
</div>
<div class="pure-g">
<div class="pure-u-1 pure-u-lg-1-3 box-form-first-sm hidden">
<label for="fTestDriveEnq_EmptyCheck">Note</label>
</div>
<div class="pure-u-1 pure-u-lg-2-3 box-form-last-sm hidden">
<input type="text" name="fTestDriveEnq_EmptyCheck" value="" id="fTestDriveEnq_EmptyCheck" maxlength="255">
</div>
</div>
</fieldset>
</div>
<div class="pure-u-1 pure-u-md-1-2 box-form-last-wrapper">
<fieldset class="test-drive">
<legend>Test Drive Details<abbr title="Field Required">*</abbr></legend>
<div class="vehicle-list pure-g">
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fTestDriveEnq_Models" id="fTestDriveEnq_Models_103.checkbox" value="103">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fTestDriveEnq_Models_103.checkbox">Polo</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fTestDriveEnq_Models" id="fTestDriveEnq_Models_108.checkbox" value="108">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fTestDriveEnq_Models_108.checkbox">Polo GTI</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fTestDriveEnq_Models" id="fTestDriveEnq_Models_107.checkbox" value="107">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fTestDriveEnq_Models_107.checkbox">Golf</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fTestDriveEnq_Models" id="fTestDriveEnq_Models_112.checkbox" value="112">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fTestDriveEnq_Models_112.checkbox">Golf GTI</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fTestDriveEnq_Models" id="fTestDriveEnq_Models_123.checkbox" value="123">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fTestDriveEnq_Models_123.checkbox">Golf R</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fTestDriveEnq_Models" id="fTestDriveEnq_Models_109.checkbox" value="109">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fTestDriveEnq_Models_109.checkbox">Golf Wagon</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fTestDriveEnq_Models" id="fTestDriveEnq_Models_131.checkbox" value="131">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fTestDriveEnq_Models_131.checkbox">Golf R Wagon </label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fTestDriveEnq_Models" id="fTestDriveEnq_Models_132.checkbox" value="132">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fTestDriveEnq_Models_132.checkbox">Passat Alltrack</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fTestDriveEnq_Models" id="fTestDriveEnq_Models_133.checkbox" value="133">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fTestDriveEnq_Models_133.checkbox">Passat Wagon</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fTestDriveEnq_Models" id="fTestDriveEnq_Models_119.checkbox" value="119">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fTestDriveEnq_Models_119.checkbox">Arteon</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fTestDriveEnq_Models" id="fTestDriveEnq_Models_120.checkbox" value="120">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fTestDriveEnq_Models_120.checkbox">Arteon Shooting Brake</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fTestDriveEnq_Models" id="fTestDriveEnq_Models_117.checkbox" value="117">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fTestDriveEnq_Models_117.checkbox">Tiguan</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fTestDriveEnq_Models" id="fTestDriveEnq_Models_100.checkbox" value="100">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fTestDriveEnq_Models_100.checkbox">Tiguan Allspace</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fTestDriveEnq_Models" id="fTestDriveEnq_Models_124.checkbox" value="124">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fTestDriveEnq_Models_124.checkbox">Tiguan R</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fTestDriveEnq_Models" id="fTestDriveEnq_Models_102.checkbox" value="102">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fTestDriveEnq_Models_102.checkbox">T-Cross</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fTestDriveEnq_Models" id="fTestDriveEnq_Models_97.checkbox" value="97">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fTestDriveEnq_Models_97.checkbox">T-Roc</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fTestDriveEnq_Models" id="fTestDriveEnq_Models_130.checkbox" value="130">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fTestDriveEnq_Models_130.checkbox">T-Roc R</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fTestDriveEnq_Models" id="fTestDriveEnq_Models_104.checkbox" value="104">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fTestDriveEnq_Models_104.checkbox">Touareg</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fTestDriveEnq_Models" id="fTestDriveEnq_Models_91.checkbox" value="91">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fTestDriveEnq_Models_91.checkbox">California</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fTestDriveEnq_Models" id="fTestDriveEnq_Models_129.checkbox" value="129">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fTestDriveEnq_Models_129.checkbox">Crafter Kampervan</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fTestDriveEnq_Models" id="fTestDriveEnq_Models_126.checkbox" value="126">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fTestDriveEnq_Models_126.checkbox">Amarok V6 W-Series</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fTestDriveEnq_Models" id="fTestDriveEnq_Models_127.checkbox" value="127">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fTestDriveEnq_Models_127.checkbox">Amarok W580X</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fTestDriveEnq_Models" id="fTestDriveEnq_Models_89.checkbox" value="89">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fTestDriveEnq_Models_89.checkbox">Multivan</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fTestDriveEnq_Models" id="fTestDriveEnq_Models_92.checkbox" value="92">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fTestDriveEnq_Models_92.checkbox">Caravelle</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fTestDriveEnq_Models" id="fTestDriveEnq_Models_101.checkbox" value="101">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fTestDriveEnq_Models_101.checkbox">Caddy</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fTestDriveEnq_Models" id="fTestDriveEnq_Models_51.checkbox" value="51">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fTestDriveEnq_Models_51.checkbox">Caddy Cargo</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fTestDriveEnq_Models" id="fTestDriveEnq_Models_93.checkbox" value="93">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fTestDriveEnq_Models_93.checkbox">Transporter</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fTestDriveEnq_Models" id="fTestDriveEnq_Models_94.checkbox" value="94">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fTestDriveEnq_Models_94.checkbox">Transporter Cab Chassis</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fTestDriveEnq_Models" id="fTestDriveEnq_Models_114.checkbox" value="114">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fTestDriveEnq_Models_114.checkbox">Crafter Van</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fTestDriveEnq_Models" id="fTestDriveEnq_Models_115.checkbox" value="115">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fTestDriveEnq_Models_115.checkbox">Crafter Cab Chassis</label>
</div>
</div>
</div>
<div class="pure-u-1-2 pure-u-md-1-3 pure-u-lg-1-4">
<div class="pure-g">
<div class="pure-u-4-24 pure-u-lg-2-24 box-form-first-sm">
<input type="checkbox" name="fTestDriveEnq_Models" id="fTestDriveEnq_Models_128.checkbox" value="128">
</div>
<div class="pure-u-20-24 pure-u-lg-22-24 box-form-last-sm">
<label for="fTestDriveEnq_Models_128.checkbox">All-New Amarok</label>
</div>
</div>
</div>
</div>
<div class="pure-g">
<div class="pure-u-1 pure-u-lg-1-3 box-form-first-sm">
<label for="fTestDriveEnq_preferredDate">Preferred Date<abbr title="Field Required">*</abbr></label>
</div>
<div class="pure-u-1 pure-u-lg-2-3 box-form-last-sm">
<input class="pure-input-1 datepicker hasDatepicker" type="text" name="fTestDriveEnq_preferredDate" value="" maxlength="25" placeholder="Please pick a date" required="" id="dp1684030755778">
</div>
</div>
<div class="pure-g">
<div class="pure-u-1 pure-u-lg-1-3 box-form-first-sm">
<label for="fTestDriveEnq_preferredTime">Preferred Time<abbr title="Field Required">*</abbr></label>
</div>
<div class="pure-u-1 pure-u-lg-2-3 box-form-last-sm">
<input class="pure-input-1 timepicker" type="text" name="fTestDriveEnq_preferredTime" value="" id="fTestDriveEnq_preferredTime" maxlength="25" placeholder="" required="">
</div>
</div>
<div class="pure-g">
<div class="pure-u-2-24 pure-u-sm-1-24 pure-u-md-2-24 pure-u-lg-1-24 box-form-first-sm">
<input type="checkbox" name="fTestDriveEnq_Marketing" id="fTestDriveEnq_Marketing.checkbox" value="True">
</div>
<div class="pure-u-22-24 pure-u-sm-23-24 pure-u-md-22-24 pure-u-lg-23-24 box-form-last-sm">
<label for="fTestDriveEnq_Marketing.checkbox">Yes, I would like to subscribe to receive latest offers & product updates.</label>
</div>
</div>
<div class="pure-g">
<div class="pure-u-2-24 pure-u-sm-1-24 pure-u-md-2-24 pure-u-lg-1-24 box-form-first-sm">
<input type="checkbox" name="fTestDriveEnq_Terms" id="fTestDriveEnq_Terms.checkbox" value="True" required="" oninvalid="this.setCustomValidity('You must agree with Terms Of Use to continue.')" onchange="this.setCustomValidity('')">
</div>
<div class="pure-u-22-24 pure-u-sm-23-24 pure-u-md-22-24 pure-u-lg-23-24 box-form-last-sm">
<label for="fTestDriveEnq_Terms.checkbox">I agree with the website <a href="/volkswagen/disclaimer/">terms of use</a> and that my information will be handled by Riverina Volkswagen in accordance with the
<a href="/volkswagen/privacy/">Dealer Privacy Policy</a>.<abbr title="Field Required">*</abbr></label>
</div>
</div>
<div class="pure-g">
<div class="pure-u-1">
<label for="fTestDriveEnq_Comment" class="full">Comments (maximum 1000 characters)</label>
<textarea name="fTestDriveEnq_Comment" id="fTestDriveEnq_Comment" class="js-comment-box" rows="2" cols="30"></textarea>
</div>
</div>
<textarea class="js-special-info hidden" name="specialInfo" id="specialInfo"></textarea>
</fieldset>
<fieldset class="submit-wrapper">
<input class="pure-button pure-button-primary button-brand" type="submit" value="Submit Enquiry">
<div class="information"><abbr title="Field Required">*</abbr> indicates a required field.</div>
<div class="privacy"><a href="/volkswagen/privacy/" target="_blank">Click to view Privacy Policy</a></div>
</fieldset>
</div>
</div>
</form>POST /ssl/forms/responsive_ajax/vw/register_your_interest.asp
<form action="/ssl/forms/responsive_ajax/vw/register_your_interest.asp" method="post" accept-charset="utf-8" id="register_your_interest_form" class="enquiry register-interest pure-form pure-form-aligned not-multi">
<div class="pure-g">
<div class="pure-u-1 pure-u-md-1-2 box-form-first-wrapper">
<fieldset class="personal">
<legend>Your Contact Details</legend>
<div class="pure-g">
<div class="pure-u-1 pure-u-lg-1-3 box-form-first-sm">
<label for="fRegister_Interest_Title">Title</label>
</div>
<div class="pure-u-1 pure-u-lg-2-3 box-form-last-sm">
<select name="fRegister_Interest_Title" id="fRegister_Interest_Title">
<option value="">Please Select</option>
<option value="Mr">Mr</option>
<option value="Miss">Miss</option>
<option value="Mrs">Mrs</option>
<option value="Ms">Ms</option>
<option value="Other">Other</option>
</select>
</div>
</div>
<div class="pure-g">
<div class="pure-u-1 pure-u-lg-1-3 box-form-first-sm">
<label for="fRegister_Interest_FirstName">First Name<abbr title="Field Required">*</abbr></label>
</div>
<div class="pure-u-1 pure-u-lg-2-3 box-form-last-sm">
<input class="pure-input-1" type="text" name="fRegister_Interest_FirstName" value="" id="fRegister_Interest_FirstName" maxlength="255" placeholder="First Name" required="">
</div>
</div>
<div class="pure-g">
<div class="pure-u-1 pure-u-lg-1-3 box-form-first-sm">
<label for="fRegister_Interest_LastName">Last Name<abbr title="Field Required">*</abbr></label>
</div>
<div class="pure-u-1 pure-u-lg-2-3 box-form-last-sm">
<input class="pure-input-1" type="text" name="fRegister_Interest_LastName" value="" id="fRegister_Interest_LastName" maxlength="255" placeholder="Last Name" required="">
</div>
</div>
<div class="pure-g">
<div class="pure-u-1 pure-u-lg-1-3 box-form-first-sm">
<label for="fRegister_Interest_Email">Email<abbr title="Field Required">*</abbr></label>
</div>
<div class="pure-u-1 pure-u-lg-2-3 box-form-last-sm">
<input class="pure-input-1" type="email" name="fRegister_Interest_Email" value="" id="fRegister_Interest_Email" maxlength="255" placeholder="Email Address" required="">
</div>
</div>
<div class="pure-g">
<div class="pure-u-1 pure-u-lg-1-3 box-form-first-sm">
<label for="fRegister_Interest_Phone">Phone<abbr title="Field Required">*</abbr></label>
</div>
<div class="pure-u-1 pure-u-lg-2-3 box-form-last-sm">
<input class="pure-input-1" type="tel" name="fRegister_Interest_Phone" value="" id="fRegister_Interest_Phone" maxlength="25" placeholder="Phone Number" required="">
</div>
</div>
<div class="pure-g">
<div class="pure-u-1 pure-u-lg-1-3 box-form-first-sm hidden">
<label for="fRegister_Interest_EmptyCheck">Note</label>
</div>
<div class="pure-u-1 pure-u-lg-2-3 box-form-last-sm hidden">
<input type="text" name="fRegister_Interest_EmptyCheck" value="" id="fRegister_Interest_EmptyCheck" maxlength="255">
</div>
</div>
</fieldset>
</div>
<div class="pure-u-1 pure-u-md-1-2 box-form-last-wrapper">
<fieldset class="additional">
<legend>Additional Information</legend>
<div class="pure-g">
<div class="pure-u-2-24 pure-u-sm-1-24 pure-u-md-2-24 pure-u-lg-1-24 box-form-first-sm">
<input type="checkbox" name="fRegister_Interest_Marketing" id="fRegister_Interest_Marketing.checkbox" value="True">
</div>
<div class="pure-u-22-24 pure-u-sm-23-24 pure-u-md-22-24 pure-u-lg-23-24 box-form-last-sm">
<label for="fRegister_Interest_Marketing.checkbox">Yes, I would like to receive updates about .</label>
</div>
</div>
<div class="pure-g">
<div class="pure-u-2-24 pure-u-sm-1-24 pure-u-md-2-24 pure-u-lg-1-24 box-form-first-sm">
<input type="checkbox" name="fRegister_Interest_Terms" id="fRegister_Interest_Terms.checkbox" value="True" required="" oninvalid="this.setCustomValidity('You must agree with Terms Of Use to continue.')"
onchange="this.setCustomValidity('')">
</div>
<div class="pure-u-22-24 pure-u-sm-23-24 pure-u-md-22-24 pure-u-lg-23-24 box-form-last-sm">
<label for="fRegister_Interest_Terms.checkbox">I agree with the website <a href="/volkswagen/disclaimer/">terms of use</a> and that my information will be handled by Riverina Volkswagen in accordance with the
<a href="/volkswagen/privacy/">Dealer Privacy Policy</a>.<abbr title="Field Required">*</abbr></label>
</div>
</div>
<div class="pure-g">
<div class="pure-u-1">
<label for="fRegister_Interest_Comment" class="full">Comments (maximum 1000 characters)</label>
<textarea name="fRegister_Interest_Comment" id="fRegister_Interest_Comment" rows="2" cols="30"></textarea>
<input type="hidden" name="fRegister_Interest_Car_Name" value="" id="fRegister_Interest_Car_Name">
</div>
</div>
<input type="hidden" name="fRegister_Interest_Models" value="">
</fieldset>
<fieldset class="submit-wrapper">
<input class="pure-button pure-button-primary button-brand" type="submit" value="Submit Enquiry">
<div class="information"><abbr title="Field Required">*</abbr> indicates a required field.</div>
<div class="privacy"><a href="/volkswagen/privacy/" target="_blank">Click to view Privacy Policy</a></div>
</fieldset>
</div>
</div>
</form>POST /ssl/forms/responsive_ajax/vw/register_your_interest_special_edition.asp
<form action="/ssl/forms/responsive_ajax/vw/register_your_interest_special_edition.asp" method="post" accept-charset="utf-8" id="register_your_interest_special_edition_form" class="enquiry register-interest pure-form pure-form-aligned not-multi">
<div class="pure-g">
<div class="pure-u-1 pure-u-md-1-2 box-form-first-wrapper">
<fieldset class="personal">
<legend>Your Contact Details</legend>
<div class="pure-g">
<div class="pure-u-1 pure-u-lg-1-3 box-form-first-sm">
<label for="fRegister_Interest_SE_Title">Title</label>
</div>
<div class="pure-u-1 pure-u-lg-2-3 box-form-last-sm">
<select name="fRegister_Interest_SE_Title" id="fRegister_Interest_SE_Title">
<option value="">Please Select</option>
<option value="Mr">Mr</option>
<option value="Miss">Miss</option>
<option value="Mrs">Mrs</option>
<option value="Ms">Ms</option>
<option value="Other">Other</option>
</select>
</div>
</div>
<div class="pure-g">
<div class="pure-u-1 pure-u-lg-1-3 box-form-first-sm">
<label for="fRegister_Interest_SE_FirstName">First Name<abbr title="Field Required">*</abbr></label>
</div>
<div class="pure-u-1 pure-u-lg-2-3 box-form-last-sm">
<input class="pure-input-1" type="text" name="fRegister_Interest_SE_FirstName" value="" id="fRegister_Interest_SE_FirstName" maxlength="255" placeholder="First Name" required="">
</div>
</div>
<div class="pure-g">
<div class="pure-u-1 pure-u-lg-1-3 box-form-first-sm">
<label for="fRegister_Interest_SE_LastName">Last Name<abbr title="Field Required">*</abbr></label>
</div>
<div class="pure-u-1 pure-u-lg-2-3 box-form-last-sm">
<input class="pure-input-1" type="text" name="fRegister_Interest_SE_LastName" value="" id="fRegister_Interest_SE_LastName" maxlength="255" placeholder="Last Name" required="">
</div>
</div>
<div class="pure-g">
<div class="pure-u-1 pure-u-lg-1-3 box-form-first-sm">
<label for="fRegister_Interest_SE_Email">Email<abbr title="Field Required">*</abbr></label>
</div>
<div class="pure-u-1 pure-u-lg-2-3 box-form-last-sm">
<input class="pure-input-1" type="email" name="fRegister_Interest_SE_Email" value="" id="fRegister_Interest_SE_Email" maxlength="255" placeholder="Email Address" required="">
</div>
</div>
<div class="pure-g">
<div class="pure-u-1 pure-u-lg-1-3 box-form-first-sm">
<label for="fRegister_Interest_SE_Phone">Phone<abbr title="Field Required">*</abbr></label>
</div>
<div class="pure-u-1 pure-u-lg-2-3 box-form-last-sm">
<input class="pure-input-1" type="tel" name="fRegister_Interest_SE_Phone" value="" id="fRegister_Interest_SE_Phone" maxlength="25" placeholder="Phone Number" required="">
</div>
</div>
<div class="pure-g">
<div class="pure-u-1 pure-u-lg-1-3 box-form-first-sm hidden">
<label for="fRegister_Interest_SE_EmptyCheck">Note</label>
</div>
<div class="pure-u-1 pure-u-lg-2-3 box-form-last-sm hidden">
<input type="text" name="fRegister_Interest_SE_EmptyCheck" value="" id="fRegister_Interest_SE_EmptyCheck" maxlength="255">
</div>
</div>
</fieldset>
</div>
<div class="pure-u-1 pure-u-md-1-2 box-form-last-wrapper">
<fieldset class="additional">
<legend>Additional Information</legend>
<div class="pure-g">
<div class="pure-u-2-24 pure-u-sm-1-24 pure-u-md-2-24 pure-u-lg-1-24 box-form-first-sm">
<input type="checkbox" name="fRegister_Interest_SE_Marketing" id="fRegister_Interest_SE_Marketing.checkbox" value="True">
</div>
<div class="pure-u-22-24 pure-u-sm-23-24 pure-u-md-22-24 pure-u-lg-23-24 box-form-last-sm">
<label for="fRegister_Interest_SE_Marketing.checkbox">Yes, I would like to receive updates about .</label>
</div>
</div>
<div class="pure-g">
<div class="pure-u-2-24 pure-u-sm-1-24 pure-u-md-2-24 pure-u-lg-1-24 box-form-first-sm">
<input type="checkbox" name="fRegister_Interest_SE_Terms" id="fRegister_Interest_SE_Terms.checkbox" value="True" required="" oninvalid="this.setCustomValidity('You must agree with Terms Of Use to continue.')"
onchange="this.setCustomValidity('')">
</div>
<div class="pure-u-22-24 pure-u-sm-23-24 pure-u-md-22-24 pure-u-lg-23-24 box-form-last-sm">
<label for="fRegister_Interest_SE_Terms.checkbox">I agree with the website <a href="/volkswagen/disclaimer/">terms of use</a> and that my information will be handled by Riverina Volkswagen in accordance with the
<a href="/volkswagen/privacy/">Dealer Privacy Policy</a>.<abbr title="Field Required">*</abbr></label>
</div>
</div>
<div class="pure-g">
<div class="pure-u-1">
<label for="fRegister_Interest_SE_Comment" class="full">Comments (maximum 1000 characters)</label>
<textarea name="fRegister_Interest_SE_Comment" id="fRegister_Interest_SE_Comment" rows="2" cols="30"></textarea>
<input type="hidden" name="fRegister_Interest_SE_Car_Name" value="" id="fRegister_Interest_SE_Car_Name">
</div>
</div>
<input type="hidden" name="fRegister_Interest_SE_Models" value="">
</fieldset>
<fieldset class="submit-wrapper">
<input class="pure-button pure-button-primary button-brand" type="submit" value="Submit Enquiry">
<div class="information"><abbr title="Field Required">*</abbr> indicates a required field.</div>
<div class="privacy"><a href="/volkswagen/privacy/" target="_blank">Click to view Privacy Policy</a></div>
</fieldset>
</div>
</div>
</form>POST /ssl/forms/responsive_ajax/vw/service_enquiry.asp
<form action="/ssl/forms/responsive_ajax/vw/service_enquiry.asp" method="post" accept-charset="utf-8" id="service_enquiry_form" class="enquiry service pure-form pure-form-aligned not-multi">
<div class="pure-g">
<div class="pure-u-1 pure-u-md-1-2 box-form-first-wrapper">
<fieldset class="personal">
<legend>Your Contact Details</legend>
<div class="pure-g">
<div class="pure-u-1 pure-u-lg-1-3 box-form-first-sm">
<label for="fServiceEnq_Title">Title</label>
</div>
<div class="pure-u-1 pure-u-lg-2-3 box-form-last-sm">
<select name="fServiceEnq_Title" id="fServiceEnq_Title">
<option value="">Please Select</option>
<option value="Mr">Mr</option>
<option value="Miss">Miss</option>
<option value="Mrs">Mrs</option>
<option value="Ms">Ms</option>
<option value="Other">Other</option>
</select>
</div>
</div><!-- /pure-g -->
<div class="pure-g ">
<div class="pure-u-1 pure-u-lg-1-3 box-form-first-sm">
<label for="fServiceEnq_FirstName">First Name<abbr title="Field Required" class="required">*</abbr></label>
</div>
<div class="pure-u-1 pure-u-lg-2-3 box-form-last-sm">
<input class="pure-input-1" type="text" name="fServiceEnq_FirstName" value="" id="fServiceEnq_FirstName" maxlength="255" placeholder="First Name" required="">
</div>
</div><!-- /pure-g -->
<div class="pure-g ">
<div class="pure-u-1 pure-u-lg-1-3 box-form-first-sm">
<label for="fServiceEnq_LastName">Last Name<abbr title="Field Required" class="required">*</abbr></label>
</div>
<div class="pure-u-1 pure-u-lg-2-3 box-form-last-sm">
<input class="pure-input-1" type="text" name="fServiceEnq_LastName" value="" id="fServiceEnq_LastName" maxlength="255" placeholder="Last Name" required="">
</div>
</div><!-- /pure-g -->
<div class="pure-g ">
<div class="pure-u-1 pure-u-lg-1-3 box-form-first-sm">
<label for="fServiceEnq_Email">Email<abbr title="Field Required" class="required">*</abbr></label>
</div>
<div class="pure-u-1 pure-u-lg-2-3 box-form-last-sm">
<input class="pure-input-1" type="email" name="fServiceEnq_Email" value="" id="fServiceEnq_Email" maxlength="255" placeholder="Email" required="">
</div>
</div><!-- /pure-g -->
<div class="pure-g ">
<div class="pure-u-1 pure-u-lg-1-3 box-form-first-sm">
<label for="fServiceEnq_Phone">Phone<abbr title="Field Required" class="required">*</abbr></label>
</div>
<div class="pure-u-1 pure-u-lg-2-3 box-form-last-sm">
<input class="pure-input-1" type="tel" name="fServiceEnq_Phone" value="" id="fServiceEnq_Phone" maxlength="25" placeholder="Phone" required="">
</div>
</div><!-- /pure-g -->
<div class="pure-g">
<div class="pure-u-1 pure-u-lg-1-3 box-form-first-sm hidden">
<label for="fServiceEnq_EmptyCheck">Note</label>
</div>
<div class="pure-u-1 pure-u-lg-2-3 box-form-first-sm hidden">
<input class="pure-input-1" type="text" name="fServiceEnq_EmptyCheck" value="" id="fServiceEnq_EmptyCheck" maxlength="255">
</div>
</div><!-- /pure-g -->
</fieldset>
<fieldset class="personal">
<legend>Your Address Details</legend>
<div class="pure-g ">
<div class="pure-u-1 pure-u-lg-1-3 box-form-first-sm">
<label for="fServiceEnq_Address">Address</label>
</div>
<div class="pure-u-1 pure-u-lg-2-3 box-form-last-sm">
<input class="pure-input-1" type="text" name="fServiceEnq_Address" value="" id="fServiceEnq_Address" maxlength="255" placeholder="Address">
</div>
</div><!-- /pure-g -->
<div class="pure-g ">
<div class="pure-u-1 pure-u-lg-1-3 box-form-first-sm">
<label for="fServiceEnq_Suburb">Suburb</label>
</div>
<div class="pure-u-1 pure-u-lg-2-3 box-form-last-sm">
<input class="pure-input-1" type="text" name="fServiceEnq_Suburb" value="" id="fServiceEnq_Suburb" maxlength="255" placeholder="Suburb">
</div>
</div><!-- /pure-g -->
<div class="pure-g ">
<div class="pure-u-1 pure-u-lg-1-3 box-form-first-sm">
<label for="fServiceEnq_State">State</label>
</div>
<div class="pure-u-1 pure-u-lg-2-3 box-form-last-sm">
<select name="fServiceEnq_State" id="fServiceEnq_State">
<option value="">Please Select</option>
<option value="ACT">ACT</option>
<option value="NSW">NSW</option>
<option value="NT">NT</option>
<option value="SA">SA</option>
<option value="TAS">TAS</option>
<option value="VIC">VIC</option>
<option value="QLD">QLD</option>
<option value="WA">WA</option>
</select>
</div>
</div><!-- /pure-g -->
<div class="pure-g ">
<div class="pure-u-1 pure-u-lg-1-3 box-form-first-sm">
<label for="fServiceEnq_Postcode">Postcode</label>
</div>
<div class="pure-u-1 pure-u-lg-2-3 box-form-last-sm">
<input class="pure-input-1" type="text" name="fServiceEnq_Postcode" value="" id="fServiceEnq_Postcode" maxlength="6" placeholder="Postcode">
</div>
</div><!-- /pure-g -->
</fieldset>
</div><!-- /pure-u-1 -->
<div class="pure-u-1 pure-u-md-1-2 box-form-last-wrapper">
<fieldset class="vehicleDetails">
<legend>Vehicle Details</legend>
<div class="pure-g ">
<div class="pure-u-1 pure-u-lg-1-3 box-form-first-sm">
<label for="fServiceEnq_Registration">Registration<abbr title="Field Required" class="required">*</abbr></label>
</div>
<div class="pure-u-1 pure-u-lg-2-3 box-form-last-sm">
<input class="pure-input-1" type="text" name="fServiceEnq_Registration" value="" id="fServiceEnq_Registration" maxlength="255" placeholder="Registration" required="">
</div>
</div><!-- /pure-g -->
<div class="pure-g ">
<div class="pure-u-1 pure-u-lg-1-3 box-form-first-sm">
<label for="fServiceEnq_VIN">VIN/Chassis #</label>
</div>
<div class="pure-u-1 pure-u-lg-2-3 box-form-last-sm">
<input class="pure-input-1" type="text" name="fServiceEnq_VIN" value="" id="fServiceEnq_VIN" maxlength="20" placeholder="VIN #">
</div>
</div><!-- /pure-g -->
<div class="pure-g ">
<div class="pure-u-1 pure-u-lg-1-3 box-form-first-sm">
<label for="fServiceEnq_VehicleYear">Year</label>
</div>
<div class="pure-u-1 pure-u-lg-2-3 box-form-last-sm">
<input class="pure-input-1" type="text" name="fServiceEnq_VehicleYear" value="" id="fServiceEnq_VehicleYear" maxlength="4" placeholder="Year">
</div>
</div><!-- /pure-g -->
<div class="pure-g ">
<div class="pure-u-1 pure-u-lg-1-3 box-form-first-sm">
<label for="fServiceEnq_Odometer">Odometer</label>
</div>
<div class="pure-u-1 pure-u-lg-2-3 box-form-last-sm">
<input class="pure-input-1" type="text" name="fServiceEnq_Odometer" value="" id="fServiceEnq_Odometer" maxlength="20" placeholder="Odometer">
</div>
</div><!-- /pure-g -->
<div class="pure-g ">
<div class="pure-u-1 pure-u-lg-1-3 box-form-first-sm">
<label for="fServiceEnq_VehicleMake">Vehicle Make</label>
</div>
<div class="pure-u-1 pure-u-lg-2-3 box-form-last-sm">
<input class="pure-input-1" type="text" name="fServiceEnq_VehicleMake" value="" id="fServiceEnq_VehicleMake" maxlength="255" placeholder="Make">
</div>
</div><!-- /pure-g -->
<div class="pure-g ">
<div class="pure-u-1 pure-u-lg-1-3 box-form-first-sm">
<label for="fServiceEnq_VehicleModel">Vehicle Model</label>
</div>
<div class="pure-u-1 pure-u-lg-2-3 box-form-last-sm">
<input class="pure-input-1" type="text" name="fServiceEnq_VehicleModel" value="" id="fServiceEnq_VehicleModel" maxlength="255" placeholder="Model">
</div>
</div><!-- /pure-g -->
<div class="pure-g ">
<div class="pure-u-2-24 pure-u-sm-1-24 pure-u-md-2-24 pure-u-lg-1-24 box-form-first-sm">
<input type="checkbox" name="fServiceEnq_VehicleServiced" id="fServiceEnq_VehicleServiced.checkbox" value="True ">
</div>
<div class="pure-u-22-24 pure-u-sm-23-24 pure-u-md-22-24 pure-u-lg-23-24 box-form-last-sm">
<label for="fServiceEnq_VehicleServiced.checkbox">Yes, my vehicle has been serviced at your dealership previously.</label>
</div>
</div><!-- /pure-g -->
</fieldset>
<fieldset class="bookingDetails">
<legend>Booking Details</legend>
<div class="pure-g ">
<div class="pure-u-1 pure-u-lg-1-3 box-form-first-sm">
<label for="fServiceEnq_dropOffDate">Preferred Drop Off Date<abbr title="Field Required" class="required">*</abbr></label>
</div>
<div class="pure-u-1 pure-u-lg-2-3 box-form-last-sm">
<input class="pure-input-1 datepicker hasDatepicker" type="text" name="fServiceEnq_dropOffDate" value="" maxlength="25" placeholder="Drop Off Date" required="" readonly="" id="dp1684030755779">
</div>
</div><!-- /pure-g -->
<div class="pure-g ">
<div class="pure-u-1 pure-u-lg-1-3 box-form-first-sm">
<label for="fServiceEnq_dropOffTime">Preferred Drop Off Time<abbr title="Field Required" class="required">*</abbr></label>
</div>
<div class="pure-u-1 pure-u-lg-2-3 box-form-last-sm">
<input class="pure-input-1 timepicker" type="text" name="fServiceEnq_dropOffTime" value="" id="fServiceEnq_dropOffTime" maxlength="25" placeholder="Drop Off Time" required="">
</div>
</div><!-- /pure-g -->
<div class="pure-g ">
<div class="pure-u-1 pure-u-lg-1-3 box-form-first-sm">
<label for="fServiceEnq_pickUpDate">Preferred Pick Up Date<abbr title="Field Required" class="required">*</abbr></label>
</div>
<div class="pure-u-1 pure-u-lg-2-3 box-form-last-sm">
<input class="pure-input-1 datepicker hasDatepicker" type="text" name="fServiceEnq_pickUpDate" value="" maxlength="25" placeholder="Pick Up Date" required="" readonly="" id="dp1684030755780">
</div>
</div><!-- /pure-g -->
<div class="pure-g ">
<div class="pure-u-1 pure-u-lg-1-3 box-form-first-sm">
<label for="fServiceEnq_pickUpTime">Preferred Pick Up Time<abbr title="Field Required" class="required">*</abbr></label>
</div>
<div class="pure-u-1 pure-u-lg-2-3 box-form-last-sm">
<input class="pure-input-1 timepicker" type="text" name="fServiceEnq_pickUpTime" value="" id="fServiceEnq_pickUpTime" maxlength="25" placeholder="Pickup Time" required="">
</div>
</div><!-- /pure-g -->
<div class="pure-g ">
<div class="pure-u-2-24 pure-u-sm-1-24 pure-u-md-2-24 pure-u-lg-1-24 box-form-first-sm">
<input type="checkbox" name="fServiceEnq_Marketing" id="fServiceEnq_Marketing.checkbox" value="True">
</div>
<div class="pure-u-22-24 pure-u-sm-23-24 pure-u-md-22-24 pure-u-lg-23-24 box-form-last-sm">
<label for="fServiceEnq_Marketing.checkbox">Yes, I would like to subscribe to receive latest offers & product updates.</label>
</div>
</div><!-- /pure-g -->
<div class="pure-g">
<div class="pure-u-2-24 pure-u-sm-1-24 pure-u-md-2-24 pure-u-lg-1-24 box-form-first-sm">
<input type="checkbox" name="fServiceEnq_Terms" id="fServiceEnq_Terms.checkbox" value="True" required="" oninvalid="this.setCustomValidity('You must agree with Terms Of Use to continue.')" onchange="this.setCustomValidity('')">
</div>
<div class="pure-u-22-24 pure-u-sm-23-24 pure-u-md-22-24 pure-u-lg-23-24 box-form-last-sm">
<label for="fServiceEnq_Terms.checkbox">I agree with the website <a href="/volkswagen/disclaimer/">terms of use</a> and that my information will be handled by Riverina Volkswagen in accordance with the
<a href="/volkswagen/privacy/">Dealer Privacy Policy</a>.<abbr title="Field Required">*</abbr></label>
</div>
</div>
<div class="pure-g ">
<div class="pure-u-1">
<label for="fServiceEnq_Comment" class="full">Work required/Comments (maximum 1000 characters)</label>
<textarea name="fServiceEnq_Comment" id="fServiceEnq_Comment" class="js-comment-box" rows="2" cols="30"></textarea>
</div>
</div><!-- /pure-g -->
<textarea class="js-special-info hidden" name="specialInfo" id="specialInfo"></textarea>
</fieldset>
<fieldset class="submit-wrapper">
<input class="pure-button pure-button-primary button-brand" type="submit" value="Submit Enquiry">
<div class="information"><abbr title="Field Required" class="required">*</abbr>indicates a required field.</div>
<div class="privacy"><a href="/volkswagen/privacy/" target="_blank">Click to view Privacy Policy</a></div>
</fieldset>
</div><!-- /pure-u-1 -->
</div><!-- /pure-g -->
</form>POST /ssl/forms/responsive_ajax/vw/company_enquiry.asp
<form action="/ssl/forms/responsive_ajax/vw/company_enquiry.asp" method="post" accept-charset="utf-8" id="company_enquiry_form" class="enquiry company pure-form pure-form-aligned not-multi">
<div class="pure-g">
<div class="pure-u-1 pure-u-md-1-2 box-form-first-wrapper">
<fieldset class="personal">
<legend>Your Contact Details</legend>
<div class="pure-g">
<div class="pure-u-1 pure-u-lg-1-3 box-form-first-sm">
<label for="fCompanyEnq_Title">Title</label>
</div>
<div class="pure-u-1 pure-u-lg-2-3 box-form-last-sm">
<select name="fCompanyEnq_Title" id="fCompanyEnq_Title">
<option value="">Please Select</option>
<option value="Mr">Mr</option>
<option value="Miss">Miss</option>
<option value="Mrs">Mrs</option>
<option value="Ms">Ms</option>
<option value="Other">Other</option>
</select>
</div>
</div>
<div class="pure-g">
<div class="pure-u-1 pure-u-lg-1-3 box-form-first-sm">
<label for="fCompanyEnq_FirstName">First Name<abbr title="Field Required">*</abbr></label>
</div>
<div class="pure-u-1 pure-u-lg-2-3 box-form-last-sm">
<input class="pure-input-1" type="text" name="fCompanyEnq_FirstName" value="" id="fCompanyEnq_FirstName" maxlength="255" placeholder="First Name" required="">
</div>
</div>
<div class="pure-g">
<div class="pure-u-1 pure-u-lg-1-3 box-form-first-sm">
<label for="fCompanyEnq_LastName">Last Name<abbr title="Field Required">*</abbr></label>
</div>
<div class="pure-u-1 pure-u-lg-2-3 box-form-last-sm">
<input class="pure-input-1" type="text" name="fCompanyEnq_LastName" value="" id="fCompanyEnq_LastName" maxlength="255" placeholder="Last Name" required="">
</div>
</div>
<div class="pure-g">
<div class="pure-u-1 pure-u-lg-1-3 box-form-first-sm">
<label for="fCompanyEnq_Email">Email<abbr title="Field Required">*</abbr></label>
</div>
<div class="pure-u-1 pure-u-lg-2-3 box-form-last-sm">
<input class="pure-input-1" type="email" name="fCompanyEnq_Email" value="" id="fCompanyEnq_Email" maxlength="255" placeholder="Email" required="">
</div>
</div>
<div class="pure-g">
<div class="pure-u-1 pure-u-lg-1-3 box-form-first-sm">
<label for="fCompanyEnq_Phone">Phone<abbr title="Field Required">*</abbr></label>
</div>
<div class="pure-u-1 pure-u-lg-2-3 box-form-last-sm">
<input class="pure-input-1" type="tel" name="fCompanyEnq_Phone" value="" id="fCompanyEnq_Phone" maxlength="25" placeholder="Phone Number" required="">
</div>
</div>
<div class="pure-g">
<div class="pure-u-1 pure-u-lg-1-3 box-form-first-sm hidden">
<label for="fCompanyEnq_EmptyCheck">Note</label>
</div>
<div class="pure-u-1 pure-u-lg-2-3 box-form-first-sm hidden">
<input class="pure-input-1" type="text" name="fCompanyEnq_EmptyCheck" value="" id="fCompanyEnq_EmptyCheck" maxlength="255">
</div>
</div>
</fieldset>
</div>
<div class="pure-u-1 pure-u-md-1-2 box-form-last-wrapper">
<fieldset class="additional">
<legend>Additional Information</legend>
<div class="pure-g">
<div class="pure-u-2-24 pure-u-sm-1-24 pure-u-md-2-24 pure-u-lg-1-24 box-form-first-sm">
<input type="checkbox" name="fCompanyEnq_Marketing" id="fCompanyEnq_Marketing.checkbox" value="True">
</div>
<div class="pure-u-22-24 pure-u-sm-23-24 pure-u-md-22-24 pure-u-lg-23-24 box-form-last-sm">
<label for="fCompanyEnq_Marketing.checkbox">Yes, I would like to subscribe to receive latest offers & product updates.</label>
</div>
</div>
<div class="pure-g">
<div class="pure-u-2-24 pure-u-sm-1-24 pure-u-md-2-24 pure-u-lg-1-24 box-form-first-sm">
<input type="checkbox" name="fCompanyEnq_Terms" id="fCompanyEnq_Terms.checkbox" value="True" required="" oninvalid="this.setCustomValidity('You must agree with Terms Of Use to continue.')" onchange="this.setCustomValidity('')">
</div>
<div class="pure-u-22-24 pure-u-sm-23-24 pure-u-md-22-24 pure-u-lg-23-24 box-form-last-sm">
<label for="fCompanyEnq_Terms.checkbox">I agree with the website <a href="/volkswagen/disclaimer/">terms of use</a> and that my information will be handled by Riverina Volkswagen in accordance with the
<a href="/volkswagen/privacy/">Dealer Privacy Policy</a>.<abbr title="Field Required">*</abbr></label>
</div>
</div>
<div class="pure-g">
<div class="pure-u-1">
<label for="fCompanyEnq_Comment" class="full">Comments (maximum 1000 characters)</label>
<textarea name="fCompanyEnq_Comment" id="fCompanyEnq_Comment" rows="2" cols="30"></textarea>
</div>
</div>
</fieldset>
<fieldset class="submit-wrapper">
<input class="pure-button pure-button-primary button-brand" type="submit" value="Submit Enquiry">
<div class="information"><abbr title="Field Required">*</abbr> indicates a required field.</div>
<div class="privacy"><a href="/volkswagen/privacy/" target="_blank">Click to view Privacy Policy</a></div>
</fieldset>
</div>
</div>
</form>POST /ssl/forms/responsive_ajax/newsletter_signup.asp
<form action="/ssl/forms/responsive_ajax/newsletter_signup.asp" method="post" accept-charset="utf-8" id="newsletter_signup_form" class="enquiry newsletter pure-form pure-form-aligned not-multi">
<div class="pure-g">
<div class="pure-u-1 pure-u-md-1-2 box-form-first-wrapper">
<fieldset class="personal">
<legend>Your Contact Details</legend>
<div class="pure-g">
<div class="pure-u-1 pure-u-lg-1-3 box-form-first-sm">
<label for="fNewsletter_Title">Title</label>
</div>
<div class="pure-u-1 pure-u-lg-2-3 box-form-last-sm">
<select name="fNewsletter_Title" id="fNewsletter_Title">
<option value="">Please Select</option>
<option value="Mr">Mr</option>
<option value="Miss">Miss</option>
<option value="Mrs">Mrs</option>
<option value="Ms">Ms</option>
<option value="Other">Other</option>
</select>
</div>
</div><!-- /pure-g -->
<div class="pure-g">
<div class="pure-u-1 pure-u-lg-1-3 box-form-first-sm">
<label for="fNewsletter_FName">First Name<abbr title="Field Required">*</abbr></label>
</div>
<div class="pure-u-1 pure-u-lg-2-3 box-form-last-sm">
<input class="pure-input-1" type="text" name="fNewsletter_FName" value="" id="fNewsletter_FName" maxlength="255" placeholder="First Name" required="">
</div>
</div>
<div class="pure-g">
<div class="pure-u-1 pure-u-lg-1-3 box-form-first-sm">
<label for="fNewsletter_LName">Last Name</label>
</div>
<div class="pure-u-1 pure-u-lg-2-3 box-form-last-sm">
<input class="pure-input-1" type="text" name="fNewsletter_LName" value="" id="fNewsletter_LName" maxlength="255" placeholder="Last Name">
</div>
</div>
<div class="pure-g">
<div class="pure-u-1 pure-u-lg-1-3 box-form-first-sm">
<label for="fNewsletter_Email">Email<abbr title="Field Required">*</abbr></label>
</div>
<div class="pure-u-1 pure-u-lg-2-3 box-form-last-sm">
<input class="pure-input-1" type="email" name="fNewsletter_Email" value="" id="fNewsletter_Email" maxlength="255" placeholder="Email Address" required="">
</div>
</div>
<div class="pure-g">
<div class="pure-u-1 pure-u-lg-1-3 box-form-first-sm">
<label for="fNewsletter_PCode">Post Code<abbr title="Field Required">*</abbr></label>
</div>
<div class="pure-u-1 pure-u-lg-2-3 box-form-last-sm">
<input class="pure-input-1" type="text" name="fNewsletter_PCode" value="" id="fNewsletter_PCode" maxlength="255" placeholder="2000" required="">
</div>
</div>
<div class="pure-g">
<div class="pure-u-1 pure-u-lg-1-3 box-form-first-sm hidden">
<label for="fNewsletter_EmptyCheck">Note</label>
</div>
<div class="pure-u-1 pure-u-lg-2-3 box-form-last-sm hidden">
<input type="text" name="fNewsletter_EmptyCheck" value="" id="fNewsletter_EmptyCheck" maxlength="255">
</div>
</div>
</fieldset>
</div>
<div class="pure-u-1 pure-u-md-1-2 box-form-last-wrapper">
<fieldset class="submit-wrapper">
<div class="pure-g">
<div class="pure-u-2-24 pure-u-sm-1-24 pure-u-md-2-24 pure-u-lg-1-24 box-form-first-sm">
<input type="checkbox" name="fNewsletter_Terms" id="fNewsletter_Terms.checkbox" value="True" required="" oninvalid="this.setCustomValidity('You must agree with Terms Of Use to continue.')" onchange="this.setCustomValidity('')">
</div>
<div class="pure-u-22-24 pure-u-sm-23-24 pure-u-md-22-24 pure-u-lg-23-24 box-form-last-sm">
<label for="fNewsletter_Terms.checkbox">I agree with the website <a href="/volkswagen/disclaimer/">terms of use</a> and that my information will be handled by Riverina Volkswagen in accordance with the
<a href="/volkswagen/privacy/">Dealer Privacy Policy</a>.<abbr title="Field Required">*</abbr></label>
</div>
</div>
<input class="pure-button pure-button-primary button-brand" type="submit" value="Subscribe">
<div class="information"><abbr title="Field Required">*</abbr> indicates a required field.</div>
<div class="privacy"><a href="/volkswagen/privacy/" target="_blank">Click to view Privacy Policy</a></div>
</fieldset>
</div>
</div>
</form>Text Content
Volkswagen Logo icons of a dollar sign Icon of a brochure icon of a magnifying
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(9)T-Cross (2)T-Roc (2)T-ROC (2)TIGUAN (1)TIGUAN ALLSPACE (7)Touareg
(1)TRANSPORTER (1)Triton (1)XC40 (1)XC60 (3)XC90 (1)XV (1)
Search Stock
I Can Afford$170* Per
Week Fortnight Month
Deposit/Trade-In
Search Stock
* This estimate is based on a loan term of 5 years and interest of 9.45% p/a.
Important information about this tool. For an accurate finance estimate, please
complete our finance enquiry form.
IMPORTANT INFORMATION ABOUT THIS TOOL
This search-by-budget tool is for indicative use only. It is provided to help
determine availability of vehicles based on approximate, estimated financing
costs.
This estimate is based on an average loan term over 5 years and an indicative
interest rate of 9.45% per annum.
Actual term and rates from your chosen finance provider will vary. Vehicle
finance can also include additional costs such as fees, balloon payments and
loan insurance.
No result from the use of this tool should be considered a loan application or
an offer of a loan. The calculator does not take into account your personal
circumstances. Repayments as a result of this simulation can vary based on your
personal circumstances including your credit worthiness. Other assumptions can
apply.
If you are considering financing a vehicle you should discuss your circumstances
with our finance professionals or through your own independent sources.
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WELCOME TO RIVERINA VOLKSWAGEN
PART OF THE RIVERINA MOTOR GROUP
Trust Riverina Volkswagen for your next Volkswagen in Wagga Wagga, NSW. We
strive to provide our customers with the best deals on new and used Volkswagens
to ensure you receive a quality vehicle at the most competitive price.
Our informative and experienced staff will be more than happy to guide you
through all our makes and models on offer at our Wagga Wagga dealership to find
the Volkswagen that suits your needs.
Riverina Volkswagen also provides excellent after sales servicing and
maintenance. Our modern workshop ensures you receive the most current parts and
servicing available whilst being handled by a fully qualified and experienced
mechanic.
Call Riverina Volkswagen on (02) 6932 6666 today for all your Volkswagen needs
in Wagga Wagga and surrounding areas.
Riverina Volkswagen
42-50 Dobney Ave, Wagga Wagga, NSW 2650
Phone: (02) 6932 6666
* Wagga Wagga
Riverina Volkswagen
42-50 Dobney Ave
Wagga Wagga, NSW, 2650
Phone: (02) 6932 6666
Sales Operating Hours
Monday - Friday
8:30am - 5:30pm
Saturday
9:00am - 1:00pm
Sunday
Closed
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Monday - Friday
8:00am - 5:00pm
Saturday
9:00am - 12:00pm
Sunday
Closed
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Monday - Friday
8:15am - 5:30pm
Saturday
9:00am - 12:00pm
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Riverina Volkswagen
42-50 Dobney Ave, Wagga Wagga, NSW 2650
(02) 6932 6666
Dealer License LMD-052423 * MVRL-51353 * Pegla PTY LTD
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