Requesting Maintenance and Service on my Vehicle

Your Name:  Phone Number:  Mobile Phone:  Fax:

Vehicle Make:  Vehicle Model:  Vehicle Year:  Registration:

Kilometers:  Please Choose ..... 1,000 to 50,000 50,000 to 100,000 100,000 to 200,000 200,000 to 300,000 300,000 Plus Fuel Type:  Please Choose ..... Diesel Petrol Gas Combination Rocket Fuel Other ...... What type of service:  Please Choose ..... Oil Service Grease and Oil Safety Check Log Book Service Pre-purchase Other ...... Transmission:  Please Choose ..... Automatic Manual Other ......

Do You Require A Loan Car:  Please Choose .. Yes No     Do You Require PickUp and Delivery:  Please Choose .. Yes No

Do you have an Extended Warranty?     YES     NO

Change Engine Oil & Filter   Air Conditioner Repair   Adjust Brakes   Change Transmission Oil   Safety Inspection   Repair Lights   Engine Tune-Up   Radiator Flush   Oil Leaks   Front End Alignment   Replace Muffler   Tire Rotation/Balance

Please indicate prefered Date, & Time for your Service Appointment. We will contact you if this conflicts wth our schedule!

Date:              Preferred Time    Morning Midday Afternoon

  All other Enquiries Comments or Queries:
Please could you make sure And add any extra queries or comments in this box. you have entered your make, Thank you. model and year, in the form above.

All servicing may incur an additional cost for 4WD's, commercial, some late model and imported vehicles. Ask our Service Manager.