FITTER DETAILS

FITTERS COMPANY NAME *

FITTERS COMPANY ADDRESS *

COMPANY REP / FITTER NAME *

Email *

Signature

Date *

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VEHICLE DETAILS

MAKE *

MODEL *

VIN/CHASSIS NO. *

TYPE *

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FRONT TYRES

FRONT TYRE DIMENSIONS *

eg. 265/75/R16 etc

FRONT TYRE LOAD RATING *

eg. 112, 114, 115 etc

REAR TYRES

REAR TYRE DIMENSIONS *

eg. 265/75/R16 etc

REAR TYRE LOAD RATING *

eg, 112, 114, 115 etc

SEATING CAPACITY *

HAS THIS VEHICLE BEEN REGISTERED?

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VEHICLE OWNERS DETAILS

PRIVATE / COMPANY NAME *

PRIVATE / COMPANY ADDRESS *

File Upload *

Click or drag files to this area to upload. You can upload up to 3 files.

Please upload Purchase Order

PLEASE NOTE:

This form must be completed as part of ordering GVM upgrade suspension kits. Upon form completion, this form will be emailed to Carrolls Springs QLD. Penalties will apply if GVM Upgrade Kit or this information form is not completed correctly & in full.

SYDNEY
41-43 Sturt Street, Smithfield, NSW 2164 Ph 02-9681 1355 Fax 02-9892 1595 ISO9001

Opening Hours Mon - Fri 7.30am - 5pm (Pickups & dropoffs 7.30am - 4.30pm) Sat - Sun - CLOSED

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BRISBANE
10 Industrial Avenue, Wacol, QLD 4076 Ph 07-3723 9504 Fax 07-3723 9505 .

Opening Hours Mon - Fri 7.30am - 4.30pm (Pickups & dropoffs 7.30am - 4.30pm) Sat - Sun - CLOSED

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MELBOURNE
146-148 Freight Drive, Somerton, VIC 3062 Ph 03-9303 9900 Fax 03-9303 9287 .

Opening Hours Mon - Fri 7.30am - 5pm (Pickups & dropoffs 7.30am - 4.30pm) Sat - Sun - CLOSED

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