First Name

Last Name

Phone

Email Address

Registration Number

Vehicle Make

Vehicle Year

Service interval? (kms)

Car Service Options Car Service Options Manufacturer's log book service Windscreen wiper blades or arms Basic car service and inspection from $149 to $350 Air conditioning regas $124 Transmission service Car battery Timing kit My car is still under new car or extended warranty

Do you need any vehicle repairs? Do you need any vehicle repairs? Yes No

Vehicle Repair Vehicle Repair Brake repairs Air-conditioning repair Headlight or tail light globe replacement Radiator replacement Door handle repair Suspension repair Steering repairs Central locking repairs Car key battery replacement (Bring Both Keys) $15-25 ea Windscreen or chip repair from $80

Do you need any assistance with wheels or tyres? Do you need any assistance with wheels or tyres? Yes No

Tyres & Wheels Tyres & Wheels New wheels 4 x Wheel Balance from $30 to $80 Wheel Alignment from $49 to $88 Tyre and Wheel Upgrade

Do you need us to diagnose any issues? Do you need us to diagnose any issues? Yes No

Please diagnose these vehicle faults - Diagnostic and Repair Services $125 per hour ($139 per hour for Euro and Prestige vehicles) Please diagnose these vehicle faults - Diagnostic and Repair Services $125 per hour ($139 per hour for Euro and Prestige vehicles) Engine Warning Light Is On Coolant Leak Vehicle Stalls Oil Leak Repair Funny Smell in Car Unusual Idling Vehicle Engine Is Running Rough Vehicle is Vibrating When Driving Windows Not Working Unusual Noise Vehicle is Overheating

Preferred service date? (need at least 48 hours notice, date & time will be confirmed after submission of form)

Any further details you want to add?