Please open and fill out the following information to book your appointment.
COVID-19 Health Declaration
Have you been in close contact or casual contact with a person with suspect, probable or confirmed
infection of novel coronavirus in the 14 days before the onset of your symptoms?
Yes No
If Yes, please provide dates of contact
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.
Contact Details
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
First Name*
Last Name*
Mobile phone*
Home or Business Phone
Email*
I am an existing customer
What type of work do you need to be done? (select one or more)*
If unsure, select "General Repairs" and tell us more about the work you want to be done
Warrant of Fitness Warrant of Fitness Recheck Warrant of Fitness Repairs General Repairs Diagnostics Pre Purchase Inspection Premium Service Standard Service Basic Service Hybrid electronic diagnostic test (includes road test and analysis)
(for Service details please see 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.
For these jobs, we need to charge an inspection fee. Inspection fees are mainly based on time generally from 30 minutes to 1 hour, or $65 to $120 incl GST.
If you proceed with the repair after the inspection then for larger jobs inspection fees can often be waived. If you don't proceed with the repair then inspection fees will be charged to you.
Inspection Options*
—Please choose an option— If my job requires an inspection first I authorise an inspection fee between $65 to $120 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
I give my authorisation to proceed with the job if it is up to..*
Note that if the job costs less than your choice, we'll charge the lesser amount.
—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
A scan to read the faults codes is valued at $65 incl GST. This will give us a printout of the vehicles self-diagnostics and is only a diagnostic starting point (not a repair solution).
Another option you could consider is a Stage 1 diagnostic valued at $199 incl GST.
This includes the "scan" and some time to try to diagnose/fix the fault. Many people like this option as if we can find and fix the fault during the stage 1 diagnostic (and there are no parts supplied) then $199 is all you would need to pay.
If the stage 1 diagnostic shows there is a problem that will require additional parts and labour, then we will do an estimate for you and discuss the next steps.
As an added bonus if we have pulled things apart to diagnose the issue, and you chose to go ahead with the repair while it is apart, then you will save the money on the disassembly labour.
Diagnostic Options*
—Please choose an option— Scan / Fault code reading $65 incl. GST Stage 1 Diagnostics (includes scan) $199 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] , or leave them on the passengers seat
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) Debit Card (No Fee) EFTPOS Card (No Fee) Visa or Master Credit Card (2.5% Transaction Fee) WINZ Genoapay (+4% Grimmer Motors Admin Fee) Online Credit Card / Paypal (+3% Grimmer Motors Admin Fee) 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*
Please do not book for Saturday and Sunday
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:
(Uncheck any you don't desire)
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
Did you speak to anyone at Grimmer Motors?*
—Please choose an option— Naz Corey Raghu Mal Anu Glenn Chris 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 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,
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 were handwriting your signature