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    Vehicle Service for Essential Service Workers

    Level 4 Contactless Online Booking Process (As Below):

     

    To get started, please select from the following:

    [select customer-type default:1 “——–” “I am a new customer that is a member of the public & I need my vehicle for groceries or healthcare” “I am a new customer that is an Essential Service Worker” “I am an existing customer that is a member of the public & I need my vehicle for groceries or healthcare” “I am an existing customer that is an Essential Service Worker”]

    [group all]

    Please open and fill out the following information to book your appointment.

    [group essential-evidence]

    Essential Service Occupation Evidence

    [/group]

    COVID-19 Health Declaration

    Customer, Vehicle and Payment Options

    Contactless Methods for Dropping your car off, the Repairs, Payment and Car Pickup

    [/group]

    [submit “Submit”]


    1
    Grimmer Motors Hamilton [firstName] [lastName] Essential Worker Form
    wordpress@grimmermotors.co.nz
    office@grimmermotors.co.nz
    Message Body:
    Customer Type:[customer-type]
    Full Name: [fullName]
    Phone: [phone]
    Email: [email]
    Symptoms: [checkbox-44]
    Travel to other countries? [radio-45] [travelDetails]
    Close contact with COVID-19 case(s)? [radio-46] [contactDetails]

    Terms Comments: [TermsComments]

    Agreements:
    1. [checkbox-861]
    2. [checkbox-862]
    3. [checkbox-863]
    4. [checkbox-864]

    Signature: [signature]

    Employer Details:
    Name: [employerName]
    Company: [employerCompany]
    Phone: [employerphone]

    New Customer Form
    Essential purposes declaration: [groceries-healthcare-agree]
    Registration: [registration]
    Make/Model/Year: [makeModelYear]
    First Name: [firstName]
    LastName: [lastName]
    Mobile: [mobileNumber]
    Home Or Biz Phone: [homeNumber]
    email: [email-2]
    Address: [address]
    Suburb: [suburb]
    City: [city]
    Marketing: [marketing]
    Referral: [referral]
    Work Needed: [work-needed]
    Previous Work: [previous-work]
    Previous Work Person: [prev-work-person]
    Previous Work Details: [prev-work-done]
    Payer: [who-pay]
    Payment Method: [payment-method]
    Payment Agreement: [agree-payment]
    Contact Method: [contact]
    Term Agreement: [agree]
    Has Spare Key: [has-spare-key]
    Preferred Booking Date: [booking-date]
    What is the earliest time they can drop your vehicle off?
    [earliest-time]
    What is the latest time they can pick it up?
    [latest-time]

    Agreements:
    [checkbox1]
    [checkbox2]
    [checkbox3]
    [checkbox4]

    This e-mail was sent from a contact form on Grimmer Motors Hamilton (https://grimmermotors.dev.voyle.nz)
    Reply-To: [email]
    [file-914] [wof-sheet]

    Thanks for contacting us. We’ll be in touch soon.
    office@grimmermotors.dev.voyle.nz
    [email]
    Hi, [firstName].
    Thanks for contacting us via our website. This is an automatic email to let you know that your message has successfully been received by the Grimmer Motors team. We will aim to be in touch as soon as possible.
    Reply-To: tonyv@rennacs.com

    Thank you for your message. It has been sent.
    There was an error trying to send your message. Please try again later.
    One or more fields have an error. Please check and try again.
    There was an error trying to send your message. Please try again later.
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    The field is required.
    The field is too long.
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    Phone: 07 855 2037

    Email: office@grimmermotors.co.nz

    Address: 998 Heaphy Terrace, Fairfield, Hamilton

    Get your car repaired today
    Book Now
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