Your service has been rewarded with a year long membership to our exclusive e-CAR club.

Complete the form below and ensure all the information is correct in order for us to assist you in the event of an emergency.

e-CAR Club Card Number   (required)

Select Your Workshop  (required)
SelectA & K MotorsAlpha Auto ElectricalAuto Service Centre, Montague GardensB & R AutoBeemer Auto ServicesBiteka AutoCar & Truck AutoCC Automotive RepairsChris Swale MotorsDM Service CentreDMR Auto ClinicDu Plessis & Claassen Service CentreErongo Commercial VehiclesF & M Auto ServicesFrench Tech AutoGeneve Auto ServicesGoodwill Auto ClinicIn-Motion MotorsJ-Tek AutoMarble Auto ElectricalMenlyn Motor ServicesMotor Tune Up'sMr Auto Wrench ServicesOosthuizen MotorsPanorama MotorsPotties Auto ElectricalPremier Auto ServicesPretoria Diesel CentreRustenburg Auto ElectricTalrad EngineeringTechnocar Auto ServicesTomson MotorsTop Care Auto Clinic MidrandTop Care Auto Clinic ModderfonteinTygerberg Auto ElectricWeimann's Garage
Province (required)GautengFree StateMpumalangaLimpopoNorth WestKwazulu NatalWestern CapeNorthern CapeEastern Cape

Customer Information

Title MrMrsMiss
Customers Name    (required)

Customers Surname    (required)

Customers contact number   (required)

Customers Email Address (if you have no customer email address please leave the field blank)

Vehicle Information

Vehicle Make   (required) eg AUDI, BMW, TOYOTA

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

Vehicle Year

Vehicle VIN Number

Vehicle Colour   (required)

Vehicle Registration Number   (required)   ALL CAPITALS (Do not insert spaces between the letters and numbers)

Vehicle KM Reading

What service was done to the vehicle?   (required)
Choose a Service typeMinor ServiceMajor ServiceMajor RepairMinor RepairOther
How did the customers hear about e-CAR?
FacebookOtherTwitterInstagramWebsiteWord of MouthPrint Ad

Summary of work carried out on customer vehicle

   Activate your e-CAR Club Card now!