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Type of Repairs or Service	Please Choose Breakdown Roadside Assistance Pre Purchase Inspection New Car Log Book Service Minor Car Service Major Service and Tune Up Electronic Tune Up Auto Electrical Repair Mobile Alternator Replacement Mobile Starter Motor Replacement Mobile Car Battery Replacement Mobile Fuel Pump Replacement Radiator & Cooling System Mobile Auto Glass & Windscreens Automatic Transmission & Diff Engine & Gearbox Air Conditioning REGAS Repairs Brake & Clutch Steering & Suspension LPG & Diesel Exhaust General Car Repairs Other
Job Description
Full Name
Job Address
Suburb
Postcode
Phone Number - Landline & Mobile
Email Address
Vehicle Make & Model
Year & Build Date
Body Type	SedanHatchCoupeUteWagon4WD
Transmission Type	AutomaticManual
Registration Number
Speedo Reading
Colour
ABS Brakes	NoneYesNo
Power Steering	NoneYesNo
Air Conditioning	NoneYesNo
Fuel System	Fuel InjectionCarbyTurboElectric
VIN Body Chassis Number
Engine Size & Number
Fuel Type	PetrolLPGDieselDual FuelHybrid
Preferred Day & Time
Last Service & Date	free forms

* VIN Body Chassis Number and Engine Number & Size - Model & Build Dates *

               Can be found on ( Registration Label & ID Tags Under Bonnet )

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