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ALPHA AUTO ELECTRICALBEEMER AUTO SERVICESBALLITO AUTO CAREDM SERVICE CENTRENEARCO MOTOR GROUPTOMSON MOTORSCAR & TRUCK AUTODU PLESSIS & CLAASSEN SERVICE CENTREMOTOR TUNE UPSA & K MOTORSB & R AUTO NORTHRIDINGCAMARO AUTOCENTURION AUTO CLINICM.A. JAFFER & SONSJUST AIRCONS CCJ-TEK AUTOMENLYN MOTOR SERVICESMPI (BENONI)PRETORIA DIESEL CENTRETECHNOCAR AUTO SERVICESB & R AUTO CLAIRWOODFRENCH TECH AUTOPREMIER AUTO SERVICESTCM MOTORSCC AUTOMOTIVE REPAIRSGROBLERSDAL MOTOR & DIESELMARBLE AUTO ELECTRICALPOTTIES AUTO ELECTRICALTALRAD ENGINEERINGKLM SERVICE CENTRETEMPE TRADING & PROJECTAA PROJECTSRUSTENBURG AUTO ELECTRICERONGO COMMERCIAL VEHICLESGOODWILL AUTO CLINICTANGIES AUTO BOKSBURGAVALT FLEET SOLUTIONe-CAR TESTBRIARDENE AUTO

Customer Information

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Customers Name    (required)

Customers Surname    (required)

Customers contact number   (required)

Customers Email Address

Vehicle Information

Vehicle Make   (required) eg AUDI, BMW, TOYOTA

Vehicle Model   (required) eg. A3, 3 SERIES, YARIS

Vehicle Year

Vehicle VIN Number (You will find this on your license disc)

Vehicle Colour   (required)

Vehicle Registration Number  

Vehicle KM Reading

Proposed Date you are bringing the car in

We will confirm via email once accepted

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Minor ServiceMajor ServiceMinor RepairMajor RepairOther

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