Customer Name:
Customer Address:
Postcode:
Contact Number:
Mobile Number:
Email address:
Most convenient
time to be contacted:
AM
PM
Make of vehicle (Holden Commodore
etc):
Type of vehicle
Model of vehicle (1998, 1999
etc):
Colour of vehicle:
Presentation required:
Executive Clean & Gleam
Spruce-Up
Bronze Presentation ***
Silver Interior Presentation ***
Silver Interior Plus ***
Silver Exterior Presentation ***
Silver Exterior Plus ***
Gold Presentation ***
Fabric Protection
Engine Presentation
Purrannum Paint Sealant ***
Additional requirements:
Platinum Presentation ***
Platinum Plus ***
Blue Ribbon Prestige
Service ***
Enhancement Accessories (enter details
in Comments field below)
Paintless Dent Removal
Removal of Chips, Scratches & Scuffs
Overspray Removal
Swirl Marks Removal
Removal of pet & human spillage & accidents
Paint Rejuvenation
Preferred service date:
Time service
required:
| 1st choice:
|
2nd choice:
|
Location
service required:
At your home address
At your work location - provide details:
At our in-house facility at 5 Holden St, Woolloongabba
Addditional comments:
Please
note that the appointment date and time must be confirmed by TLC.