Name (required)

Contact Number (required)

Email Address (required)

Vehicle REGO (required)

Vehicle Make & Model (required)

Please tick if you have an existing account with usPlease tick if service required is covered by insurance and you wish to claimPlease tick if you require a courtesy vehicle

Service Required

Prefered Date

Prefered Time

I /We authorise the work outlined on this job booking and invite you to contact me/us or any other person I /we have authorised, if you were to identify additional work that may be required to be completed, should said work be over $200 + Gst. Ownership of goods and products supplied remains with V-Dub Shoppe Ltd until payment is made in full. The interest of 5% per month may be added to overdue amounts. Any costs incurred in the collection of this invoice will be added to the account.