Full Name
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Phone
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Email
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Address
Street Address
City
State
Postal Code
VIN Number
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Registration number
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Make
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Model
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Year
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Mileage
Engine
Date of booking
Date / time required back
Job requested / Issues
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Additional work:
Full Diagnsotic Check
Redarc Brake Control
Anderson Plug
Tow Tune - Saves you fuel + More Torque
Kick Sensor Relocation
Other
Towbar Type
*
Wiring Type
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Other Work Required:
Allow EFT to safely test drive your vehicle on your insurance
*
Yes
No
Before taking your vehicle to the workshop, may we have your permission to take photos for inspection purposes?
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Yes
No
These photos are for internal records to ensure transparency and protect both parties in case of any discrepancies.
Are you happy to share your vehicle photo / video on Instagram / Facebook / YouTube?
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No
Number plate will NOT be visible
How did you hear about us?
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