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    Courtesy Car Application Form

    Full Name
    [text* fullName]
    Mobile Phone Number
    [tel* mobile]
    Vehicle Rego being worked on
    [text* rego]
    [checkbox* haveFullLicense “I have a valid Full New Zealand Driver’s License”]

    In order to confirm your courtesy car booking we first need to confirm your Drivers License details.

    Please either provide photos of BOTH SIDES of your Full Driver’s License
    OR
    Email them to office@grimmermotors.co.nz
    [file fullLicenseFront filetypes:gif|png|jpg|jpeg|pdf]
    [file fullLicenseBack filetypes:gif|png|jpg|jpeg|pdf]

    Terms and Conditions

    • First 10km are free, then 50c/Km. This covers repairs, servicing, Rego’s, WOF’s, insurance and petrol.
    • Drivers must be over 21 and provide a FULL NZ drivers licence. This will be photocopied.
    • Car is only to be used within Hamilton city area, or within a 10 km radius from Grimmer Motors. (unless otherwise agreed and noted on this form).
    • No smoking, eating, drinking or pets are allowed in the car.
    • Due to COVID 19 we need to thoroughly wipe and clean the car before and after use for health and safety. We also need to let the courtesy car sit for 3 days to make sure there is no possible virus left for the next user of the courtesy car. Therefore there is a courtesy car cleaning fee of $35. An extra charge of $35 will be charged if there is smoke smell, food, drink, pet remains or other smells in the car, or if it is returned dirty.
    • The Customer agrees to return the car on the ‘date agreed for return’, or on the day of notification your car is ready for collection. If this car is not delivered back by the time agreed and there has been no agreement from Grimmer Motors to extend the time period, then Grimmer Motors has the option to charge an additional $50 per day until the Courtesy Car is returned.
    • The Customer agrees to exercise all reasonable care and diligence in the security and care of the car and will do nothing to jeopardise any and all insurance cover. In the event of an insurance claim being declined due to a failing on the Customers behalf the Customer agrees to accept full responsibility for the full cost of repairing any damage and for any losses to this car or other people’s property arising.
    • In the event of damage or theft caused to the car or other parties property, the Customer agrees to accept full responsibility and will be liable for the lesser of Grimmer Motors excess costs of $1500 if over 25, $2000 if 21 to 25 (cars loaned at our discretion), or the cost to repair or replace the car.
    • Any damage or mechanical problem must be reported to Grimmer Motors immediately.
    • The Customer will not park the car in a situation where it is more likely to get vandalised, broken into or stolen, such as on the roadside overnight.
    • If the Customer gets a flat car battery due to leaving lights on, or any other electrical load on, then it is the Customers responsibility to pay for the battery charge, repair or call out fee.
    • If the Customer gets a speeding, parking ticket or any other form of fine while using this car, then the Customer agrees to immediately pay Grimmer Motors for the full amount of this speeding, parking ticket or other fine on proof of ticket, fine, or payment demand from Grimmer Motors.
    • This agreement is only with the signed Customer. The Customer will not let anyone else drive this car. If the Customer does allow someone else to drive this car, then the Customer will still be liable under this agreement as if they were driving this car.
    • Magnetic courtesy car signs attached to the car must not be removed, or tampered with.
    • If any one or more of the Terms and Conditions above are found to be unenforceable, then the rest of the Terms and Conditions still apply.

    Instructions for Returning the Courtesy Car to Grimmer Motors

    • When you drop your car off, please park under the canopy at Grimmer Motors.
    • We would appreciate it if you could leave your driver and passenger side car doors open together for at least 1 minute after your exit the car to “let fresh air through”.
    • Please wipe down all the common touch areas with an antibacterial cleaner that people would have touched. For example, door handles, steering wheel, gear selector, light and indicator switch, power window buttons and so on.
    • Please turn off the heating and air conditioning system, so air is not blowing on our mechanics when the key is turned on.
    • When a Grimmer Motors team member comes to inspect the courtesy car then for your safety and theirs please stand back from them at least 3 meters while they check the km’s, how clean the car is, and any damage to the car.
    • If any one or more of the Terms and Conditions above are found to be unenforceable, then the rest of the Terms and Conditions still apply.

    Your signature to confirm you agree to the terms and conditions listed above,
    as well as having filled out the form truthfully and to the best of your ability.
    By typing your full name into the box below, you agree that this is your Electronic Signature,
    the same as if you where handwriting your signature
    [text* signature]

    [submit “Submit”]

    1
    [fullName] Courtesy Car Form
    wordpress@grimmermotors.co.nz
    office@grimmermotors.co.nz
    From: [fullName]
    Subject: [fullName] Courtesy Car Form

    Message Body:
    Full Name: [fullName]
    Rego: [rego]
    Phone: [mobile]
    Have Full License: [haveFullLicense]

    Signature: [signature]

    v1

    This e-mail was sent from a contact form on Grimmer Motors Hamilton (https://grimmermotors.dev.voyle.nz)

    [fullLicenseFront][fullLicenseBack]

    Grimmer Motors Hamilton “[your-subject]”
    Grimmer Motors Hamilton
    [your-email]
    Message Body:
    [your-message]


    This e-mail was sent from a contact form on Grimmer Motors Hamilton (https://grimmermotors.dev.voyle.nz)
    Reply-To: tonyv@rennacs.com

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    Phone: 07 855 2037

    Email: office@grimmermotors.co.nz

    Address: 998 Heaphy Terrace, Fairfield, Hamilton

    Get your car repaired today
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