Fill in the following details to book in your next service:
PERSONAL DETAILS
Full Name
*
Phone
*
Email
*
Address
Street Address
Suburb
City
State
Postcode
Postcode
*
How did you hear about us?
Bought my car from Binks
Have serviced my car at Binks before
Friend
Radio
Google
Manufacturer
Other
SERVICE DETAILS
Preffered Date and Time:
*
-
Day
-
Month
Year
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1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Location
*
Deer Park
Footscray
Service Interval
*
3,000km or 3 months free service
15,000km or 1 year service
30,000km or 2 year service
45,000km or 3 year service
60,000km or 4 year service
75,000km or 5 year service
90,000km or 6 year service
105,000km or 7 year service
10,000km Commercial Vehicles
20,000km Commercial Vehicles
30,000km Commercial Vehicles
40,000km Commercial Vehicles
50,000km Commercial Vehicles
60,000km Commercial Vehicles
70,000km Commercial Vehicles
80,000km Commercial Vehicles
90,000km Commercial Vehicles
100,000km Commercial Vehicles
Other service
Registration No
*
Make
Model
Kms
Year
Additional Works:
5 Point Safety inspection (No Charge)
Battery Check (No Charge)
Front End Wheel Alignment ($45.00)
Wiper Inserts (POA)
Brake Fluid Flush (POA)
Coolant Flush (POA)
Environmental Emissions Service ($99.00)
Air Conditioning & Deodorize ($189.00)
Courtesy Drop off and Pick up (No Charge for local area only)
Additional Comments
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