Complete and submit the following details to TLC. We will then contact you to confirm the details and time of your appointment. All personal details provided in the form below are protected by TLC's Privacy Policy to ensure the confidentiality of your information.
Customer Name: Customer Address: Postcode: Contact Number: Mobile Number: Email address: Most convenient time to be contacted: AM PM Make of vehicle (Holden Commodore etc): Type of vehicle Select one Sedan Station wagon Large family wagon 4WD - small 4WD - medium 4WD - large Van - small Van - medium Van - large Truck Bus - medium Bus - large Other Model of vehicle (1998, 1999 etc): Select a year 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 Pre 1980 Colour of vehicle: *** This Prestige Service allows you to apply for access to a Courtesy car, to be used while your vehicle is being serviced (please note that it has manual transmission). Yes, I would like to use the Courtesy car. *** You also qualify for one of the gifts in the list below; Select one of the following Ambi Pur Air Freshener Leather Dressing Wiperblade replacement Demister Cloth Preferred service date: Time service required: 1st choice: Choose a time 7:00 AM 8:00 AM 9:00 AM 10:00 AM 11:00 AM 12 Noon 1:00 PM 2:00 PM 3:00 PM 4:00 PM 5:00 PM 6:00 PM 2nd choice: Choose a time 7:00 AM 8:00 AM 9:00 AM 10:00 AM 11:00 AM 12 Noon 1:00 PM 2:00 PM 3:00 PM 4:00 PM 5:00 PM 6:00 PM Location service required: The processes associated with this service require the controlled environment of our in-house facilities at 5 Holden St, Woolloongabba. The time required will be 8 to 10 hours. Addditional comments: Please note that the appointment date and time must be confirmed by TLC.
Customer Name:
Customer Address:
Postcode:
Contact Number:
Mobile Number:
Email address:
Most convenient time to be contacted: AM PM
Make of vehicle (Holden Commodore etc):
Type of vehicle Select one Sedan Station wagon Large family wagon 4WD - small 4WD - medium 4WD - large Van - small Van - medium Van - large Truck Bus - medium Bus - large Other
Model of vehicle (1998, 1999 etc): Select a year 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 Pre 1980
Colour of vehicle:
*** This Prestige Service allows you to apply for access to a Courtesy car, to be used while your vehicle is being serviced (please note that it has manual transmission). Yes, I would like to use the Courtesy car. *** You also qualify for one of the gifts in the list below; Select one of the following Ambi Pur Air Freshener Leather Dressing Wiperblade replacement Demister Cloth
*** This Prestige Service allows you to apply for access to a Courtesy car, to be used while your vehicle is being serviced (please note that it has manual transmission). Yes, I would like to use the Courtesy car.
*** You also qualify for one of the gifts in the list below;
Select one of the following Ambi Pur Air Freshener Leather Dressing Wiperblade replacement Demister Cloth
Preferred service date:
Time service required:
Location service required:
The processes associated with this service require the controlled environment of our in-house facilities at 5 Holden St, Woolloongabba. The time required will be 8 to 10 hours.
Addditional comments:
Please note that the appointment date and time must be confirmed by TLC.
