Please do not insert spaces ( ) dashes (-) or slashes (/) in the fields below as this affects the database fields.

Please ensure all information is correct in order for the AA to assist a customer in the event of an emergency.

Workshop Information

e-CAR Club Card Number   (*required) [ no spaces or dashes - ]

Select Your Workshop  (*required)
SelectA & K MOTORSAA PROJECTSALPHA AUTO ELECTRICALAVALT FLEET SOLUTIONSB & R AUTO CLAIRWOODB & R AUTO NORTHRIDINGBALLITO AUTO CAREBEEMER AUTO SERVICESBLUFF TYRES BALLITO AUTOCAREBRIARDENE AUTOCAMARO AUTOCAR & TRUCK AUTOCC AUTOMOTIVE REPAIRSCENTURION AUTO CLINICDM SERVICE CENTREDU PLESSIS & CLAASSEN SERVICE CENTREERONGO COMMERCIAL VEHICLESFRENCH TECH AUTOGOODWILL AUTO CLINICGROBLERSDAL MOTOR & DIESELJ-TEK AUTOJUST AIRCONS CCKLM SERVICE CENTREM.A. JAFFER & SONSMARBLE AUTO ELECTRICALMENLYN MOTOR SERVICESMOTOR TUNE UPSMPI (BENONI)NEARCO MOTOR GROUPPOTTIES AUTO ELECTRICALPREMIER AUTO SERVICESPRETORIA DIESEL CENTRERUSTENBURG AUTO ELECTRICTALRAD ENGINEERINGTCM MOTORSTANGIES AUTO BOKSBURGTECHNOCAR AUTO SERVICESTEMPE TRADING & PROJECTTOMSON MOTORS

Province (*required)CLICK HERE to choose your provinceFree StateGautengKwazulu NatalLimpopoMpumalangaNamibiaNorthern CapeNorth WestSA NeighboursWestern Cape

Customer Information

Title MrMrsMiss
Customers Name    (*required)
Customers Surname    (*required)
Customers contact number   (*required) [no spaces or dashes -]

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

Service

What service was done to the vehicle?   (*required)
Minor ServiceMajor ServiceMajor RepairMinor RepairOther
Date of Service/Repair (*required) Click on the Calendar icon to bring up the calendar. On a mobile click anywhere in the block below.

Summary of work carried out on customer vehicle

Only Forms filled out by the workshop will be accepted.