Booking Information
Vehicle Registration Number*Please enter your vehicles registration plate. ('N/A' if it's unregistered)
Vehicle Make/Model/Year*Please enter the Make, Model and Year of your vehicle. Please enter the contact details of the person who we should contact and is authorised to make decisions and pay the bill for the vehicle
I am an existing customer
What type of work do you need to be done? (select one or more)*Warrant of Fitness Warrant of Fitness Recheck Warrant of Fitness Repairs General Repairs Diagnostics Premium Service Standard Service Hybrid electronic diagnostic test (includes road test and analysis) Car Servicing )
Some jobs require us to raise the car on the hoist, or clean areas down, or remove parts and covers, or perform other tasks to do an inspection before we can determine and advise you of what needs fixing and price estimate.
Inspection Options*—Please choose an option— If my job requires an inspection first I authorise an inspection fee between $75 to $132 incl. GST I don't believe my job requires an inspection, so please contact me if an inspection is needed to get my authorisation first
**Please do the following before you come in for your WoF**
Clear all seats and make sure they're accessible, including removing child seats
Clear car boot, so that the spare wheel can be easily checked
Remove everything off the seats, so that all seatbelts are accessible and not caught behind seats
Remove any removable phone mounts
Please fit any missing headrests
**If these aren't done, you may fail your WoF for one or more of these items**
Would you like us to go ahead and replace small items such as bulbs for your WOF to allow the car to pass and to avoid you having to come back a second time?*—Please choose an option— Yes No
Please tell us your spending limit before we need to contact you*—Please choose an option— I give my authorisation to proceed with the job if it is up to $25 I give my authorisation to proceed with the job if it is up to $50 I give my authorisation to proceed with the job if it is up to $75 I give my authorisation to proceed with the job if it is up to $100 I give my authorisation to proceed with the job if it is up to $125 I give my authorisation to proceed with the job if it is up to $150 I give my authorisation to proceed with the job if it is up to $175 I give my authorisation to proceed with the job if it is up to $200 I give my authorisation to proceed with the job if it is up to $225 I give my authorisation to proceed with the job if it is up to $250 I want to enter my own value Please contact me with an estimate for the job before proceeding I believe this job could be under warranty
If your WOF fails would you like an estimate for repairs?*—Please choose an option— I would like an estimate for WOF repairs No I will do the WOF repairs myself No I will have a friend/family member do the WOF repairs No I will have another garage do the WOF repairs
I give my authorisation to proceed with the job if it is up to..*—Please choose an option— I give my authorisation to proceed with the job if it is up to $100 I give my authorisation to proceed with the job if it is up to $200 I give my authorisation to proceed with the job if it is up to $300 I give my authorisation to proceed with the job if it is up to $400 I give my authorisation to proceed with the job if it is up to $500 I give my authorisation to proceed with the job if it is up to $600 I give my authorisation to proceed with the job if it is up to $700 I give my authorisation to proceed with the job if it is up to $800 I give my authorisation to proceed with the job if it is up to $900 I give my authorisation to proceed with the job if it is up to $1000 I want to enter my own value Please contact me with an estimate for the job before proceeding I believe this job could be under warranty
Stage 1 diagnostic valued at $249 incl GST.
Diagnostic Options*—Please choose an option— Stage 1 Diagnostics (includes scan) $249 incl. GST
Please tell us about the type of work you need done*
If you have a WoF sheet detailing required repairs please either upload the files (gif, png, jpg, pdf, 10MB limit), email the files to [email protected]
Have you or anyone else worked on this issue with your vehicle?*Yes No
Who will be paying for this work?*—Please choose an option— Me Mother Father Relative Friend Business Insurance Other
Which insurance company will be paying?—Please choose an option— Janssen Provident Protecta Other - We will need to discuss
Payment Method when picking up vehicle?*Grimmer Motors has a strict payment on pick up policy. How will you pay? We don't accept cheques We no longer accept cash payments
—Please choose an option— Internet Banking (No Fee, T&C's apply) Debit Card (No Fee) EFTPOS Card (No Fee) Visa or Master Credit Card (2.5% Transaction Fee) WINZ Smart Cover Finance (Smart Cover Finance interest applies) MTF Finance (for jobs greater than $2500, interest and fees apply)
Contact Method when vehicle is ready?*How would you like us to contact you when your vehicle is ready to be picked up? —Please choose an option— Please call my mobile when vehicle ready Please call my landline when vehicle ready Please txt me when vehicle is ready Please email me when vehicle is ready
Preferred Booking Date*
Due to delays in sourcing parts during this time, it is ideal if you can leave your vehicle with us all day.
Please drop the car off after 7:30am and pickup by 4:45pm while mechanics are at work.
When you get the work done at Grimmer Motors, and leave your car from at least 8.30am to 2.30pm you get these FREE extras:Basic Car Wash Vacuum Tyre Shine Dash Polish
When will you be dropping your vehicle off?*—Please choose an option— 7:30 8:00 8:30 9:00 9:30 10:00 10:30 11:00 11:30 12:00 12:30 1:00 1:30 2:00 2:30 3:00 3:30 4:00 4:30 4:45
Can you leave your car with us for longer than one day?—Please choose an option— Need the car back same day Can leave overnight I can leave for 2 or more days
What is the latest time you can pick it up?*—Please choose an option— 7:30 8:00 8:30 9:00 9:30 10:00 10:30 11:00 11:30 12:00 12:30 1:00 1:30 2:00 2:30 3:00 3:30 4:00 4:30 4:45
Do you want a courtesy car?* PLEASE NOTE: Courtesy Cars only available for jobs over $250—Please choose an option— Yes No
I have a valid Full New Zealand Driver's License
In order to confirm your courtesy car booking we will need to confirm your Drivers License details.
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 driver’s licence. This will be photocopied.
Car is only to be used within the 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.
There is a cleaning fee of $50 if someone has smoked in the car, there is food, drink, pet remains or bad 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 including using a steering lock when the car is parked (if a steering lock is provided). 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 from the customer driving this courtesy car.
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 insurance 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 vandalized, 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.
Did you speak to anyone at Grimmer Motors?*—Please choose an option— Mal Glenn Chris Kaleb Haven't spoken to anyone yet I spoke to a male but can't remember their name I spoke to a female but can't remember their name
Accept Grimmer Motors Terms and Conditions* I understand that parts and services remain the property of Grimmer Motors 2015 Ltd until paid for in full, and interest, late payment and collection fees may be added to invoices. I understand that if my job is cancelled for any reason I am liable for any restocking, administration and freight fees on parts that have been ordered in preparation for the job. I understand I am liable for storage costs at $25 per day, 24 hours after I am informed that the car is ready to be uplifted if I do not return to uplift the vehicle or pay my account causing the vehicle is held on site. I understand that I/We give authority for Grimmer Motors 2015 Ltd to hold my personal information and authorise any person or company to provide Grimmer Motors with information to determine my whereabouts and my credit worthiness. By clicking "Submit" on this form you are agreeing for Grimmer Motors to send you Follow Up reminders for repair, maintenance or diagnostic items your vehicle requires, plus occasional newsletters and promotions via text or email.
Your Electronic Signature
Your signature to confirm you agree to the terms and conditions listed above,
