Customer Check-In

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Full Name: Contact Number: Email:

Make and Model: Registration Number (excluding spaces):

Appointment Date: Type of Appointment:

Current Mileage:

What type of diagnosis is required?
Engine Gearbox Other

Engine Symptoms:
Does Not Start
Starts with Difficulty
Starts and Runs Badly

Gearbox Symptoms:
Does Not Drive
Drives Badly

Please describe the symptoms:

Common Warning Lights:

Oil Pressure Warning Light

Battery Warning Light

Brake Warning Light

ABS Warning Light

Transmission Warning Light

Check Engine Light

Airbag Warning Light

Other

Additional Notes: I have read and understood the terms of business.