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Ph: 09 570 9004
MAKE A BOOKING
LOAN CARS AVAILABLE ($23)
Booking Form
Booking Form
Name
*
Name
First
First
Last
Last
Phone
*
Email
*
New Customer?
YES
Vehicle Make
*
Vehicle Model & Year (if known)
Mileage (if known)
Do you have a mechanical warranty? If so - which company?
Vehicle Registration Number
Preferred Drop-off Date
*
Time
12
1
2
3
4
5
6
7
8
9
10
11
:
00
30
AM
PM
Is your car due for a service?
YES
NO
Is your car due for a WoF?
YES
NO
Will you require a courtesy car?
YES
NO
Do you have any specific requirements?
If fault, please describe symptoms.
When does the problem occur?
Driving Conditions
Starting Cold
Starting Hot
Idle
Light Throttle
Medium Throttle
Full Throttle
How often does the fault occur?
Only once
Every time I use the car
Once a day
Once a week
Once a month
Not often
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