Extended Warranty Quote Form

Vehicle Type

Choose Vehicle Type(Required)

Vehicle Details

Build Month(Required)

Build Year(Required)

Vehicle Make(Required)

ie: Mercedes

Model(Required)

SLC

Series

200

Badge(Required)

(ie: MY18)

Body Type(Required)

(ie: Wagon)

Transmission

(ie: Automatic / Manual)

Engine Details

Engine Type(Required)

(ie: Diesel / Petrol / Hybrid / Electric)

Engine Cylinder Size(Required)

(ie: 4cyl, 6cyl, 8cyl)

Engine CC

(ie: 1.6ltr, 2ltr, 3ltr, 4ltr)

Odometer Reading

Enter current odometer reading

Hours

Vehicle Identifiers

Registration Number(Required)

VIN Number

Purchase Details / Requirements

DEALERSHIP / CAR YARD PURCHASE DAY 1 COVER if purchased through a Dealer with no warranty applicable; or The expiry of any Manufacturer’s Warranty; or The date that the Selling Dealer’s Statutory Warranty expires. PRIVATE SALES / AUCTION SALES Wait period of 90 days from warranty purchase date - Vehicle Inspection Report / Roadworthy or Safety Inspection Report required at warranty commencement to ensure vehicle is mechanically sound.

What Is The Date of Purchase(Required)

Was this purchased through a dealer / retailer?(Required)

Name Of Dealership / Retailer(Required)

Is there a Roadworthy, Safety or Mechanical Inspection for this vehicle?(Required)

Does the vehicle have a Dealer Statutory Warranty?(Required)

Is the vehicle still under a current new vehicle or extended warranty?(Required)

Dealer or Manufacturer Warranty Expiry Date

Enter the approximate dealer statutory warranty or manufacturers expiry date

Your Details

What is Your Name?(Required)

First Last

What is Your Phone Number?(Required)

What is Your Email Address?(Required)

What state in Australia are located in?(Required)

Comments

This field is for validation purposes and should be left unchanged.

EXTENDED WARRANTY QUOTE

Please complete the form below for a warranty comparison.

Vehicle Type

Vehicle Details

Engine Details

Vehicle Identifiers

Purchase Details / Requirements

Your Details

EXTENDED WARRANTY QUOTE

Please complete the form below for a warranty comparison.

Vehicle Type

Vehicle Details

Engine Details

Vehicle Identifiers

Purchase Details / Requirements

Your Details

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