Main Template

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:

Most convenient time to be contacted: AM PM

Email Address:

Type of vehicle (Holden Commodore etc):

Model of vehicle (1998, 1999 etc):

Vehicle Colour:

Please indicate where damage currently exists on your vehicle.

Repair Work required:

Repair Chips & Scratches to:

Bonnet
Roof
Boot
Front bumper bar
Front driver-side guard
Front passenger-side guard
Rear bumper guard
Rear driver-side guard
Rear passenger-side guard
Front driver-side door
Rear driver-side door
Front passenger-side door
Rear passenger-side door
Wheel trims
Windscreen/windows

Repair Dents to:

Bonnet
Roof
Boot
Front bumper bar
Front driver-side guard
Front passenger-side guard
Rear bumper guard
Rear driver-side guard
Rear passenger-side guard
Front driver-side door
Rear driver-side door
Front passenger-side door
Rear passenger-side door

Preferred service date:

Time service required:

1st choice: 2nd choice:

Location service required:

At your home address
At your work location - provide details:
At our in-house facility at 5 Holden St, Woolloongabba

Addditional comments:

Please note that the appointment date and time must be confirmed by TLC.