Jims Website Request

Name

Phone Number

Address

City

State

Postcode

Division Type

Franchise Start Date

Franchise Territory

Franchisor Name

Vehicle Make

Vehicle Model

Vehicle Colour

Vehicle Year

Vehicle Rego

Decal Removel Required - Fees Apply

YES NO

Additional Details

(Please include any damage to your vehicle)

Payee - (Invoice To)

Franchisor Email Address

Please Note:Your vehicle must be washed prior to drop off. If the vehicle is dropped off without being washed satisfactorily then a cleaning charge will apply and separately invoiced. The car wash invoice will be required to be paid prior to pick up.

Re-scheduling Fee

I UNDERSTAND THAT A RE-SCHEDULING FEE OF $250 WILL BE CHARGED IF NOTICE ISN'T PROVIDED 48HRS PRIOR TO THE APPOINTMENT.

Car Wash & Preparation Fee

I UNDERSTAND THAT THE VEHICLE MUST BE CLEANED SATISFACTORILY PRIOR TO DROP OFF. IF THE VEHICLE IS NOT CLEANED SATISFACTORILY A $100 CAR WASH & PREPARATION FEE WILL APPLY. WE RECOMMEND YOUR VEHICLE IS CLEANED BY A JIM'S CAR DETAILING PROFESSIONAL TO AVOID ANY ADDITIONAL VEHICLE CLEANING COSTS. NOTE: IT IS NOT SUFFICIENT TO RUN THE CAR THROUGH A AUTOMATIC CAR WASH.

Name

Phone

Address

City

State/Province

Zip/Postal

Division Type

Franchise Start Date

Franchise Territory

Franchisor Name

Vehicle Type

Vehicle Make

Vehicle Model

Vehicle Colour

Vehicle Year

Vehicle Rego

Decal Removel Required - Fees Apply

YES NO

Vehicle Pickup Required - Fees Apply.

YES NO

Additional Details

(Please include any damage to your vehicle)

Payee - (Invoice To):

Re-scheduling Fee

I UNDERSTAND THAT A RE-SCHEDULING FEE OF $250 WILL BE CHARGED IF NOTICE ISN'T PROVIDED 48HRS PRIOR TO THE APPOINTMENT.

Car Wash & Preparation Fee

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Jims Website Request

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