Club Activations

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

Workshop Information

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

Province (required)
Free StateGautengKwazulu NatalLimpopoMpumalangaLesothoNamibiaNorthern CapeNorth WestWestern Cape

Select your Workshop (required)
7 DAYS SERVICE CENTERA & K MOTORSALPHA AUTO ELECTRICALAVALT FLEET SOLUTIONB & R AUTO JACOBS DURBAN SOUTHB & R AUTO NORTHRIDINGBEEMER AUTO SERVICESBRIARDENE AUTOCAR & TRUCK AUTOCC AUTOMOTIVE REPAIRSCENTURION AUTO CLINICDM SERVICE CENTREDU PLESSIS & CLAASSEN SERVICE CENTREFRENCH TECH AUTOGOODWILL AUTO CLINICGROBLERSDAL MOTOR & DIESELJ-TEK AUTOJWJ AUTOMOTIVE PTY LTDKLM SERVICE CENTRELAKEFIELD CAR CLINICM.A. JAFFER & SONSMARBLE AUTO ELECTRICALMENLYN MOTOR SERVICESMOTOR TUNE UPSMPI - BENONINEARCO MOTOR GROUPPOTTIES AUTO ELECTRICALPRETORIA DIESEL CENTRERUSTENBURG AUTO ELECTRICSUPER AUTO ENGINE REPAIRSTALRAD ENGINEERINGTANGIES AUTOTCM MOTORSTECHNOCAR AUTO SERVICESTEMPE TRADING & PROJECTTOMSON MOTORS

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.

Only Forms filled out by the workshop will be accepted.