GVM UPGRADE COMPLIANCE PLATE
FITTERS / VEHICLE / VEHICLE OWNERS INFORMATION SHEET

"*" indicates required fields

Fitter Details

Fitters Company Name*

Fitters Company Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Company Rep / Fitter Name*

Email*

Signature*

Vehicle Details

Make*

Model*

VIN / Chassis Number*

Type

Seating Capacity*

Front Tyres

Front Tyre Dimensions*

eg. 265/75/R16 etc

Front Tyre Load Rating*

eg. 112, 114, 115 etc

Front Tyres

Rear Tyre Dimensions*

eg. 265/75/R16 etc

Rear Tyre Load Rating*

eg. 112, 114, 115 etc

Has The Vehicle Been Registered?*

Vehicle Owners Details

Private / Company Name*

Private / Company Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

File Upload

Drop files here or

Accepted file types: pdf, png, jpg, bmp, Max. file size: 4 MB.

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.

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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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