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Book a Harley Davidson Service or Repair
Moto Trekkin Garage Booking Form
"
*
" indicates required fields
Step
1
of
4
– Contact Details
25%
Personal Details
First Name
*
Last Name
*
Email
*
Mobile Phone
*
Work Phone
Home Phone
Street Address
*
Street Address Line 2
City
*
State
*
ACT
NSW
VIC
QLD
NT
WA
TAS
SA
Post Code
*
Motorcycle Details
Motorcycle Make
*
Motorcycle Model
*
Motorcycle Year
*
State of Registration
*
CHOOSE YOUR STATE OF REGISTRATION
NSW
ACT
VIC
QLD
NT
WA
TAS
SA
Rego Plate
*
VIN Number
*
Rego Expiry
*
Current KMS
*
Last Service Date (if known)
Day
Month
Year
Any ongoing faults or problems ?
*
Yes
No
Please elaborate
*
Service Details
Summary of Work Required:
*
Do you require the following:
New Tyres
*
Yes
No
Maybe
FRONT TYRE SIZE
Width
*
80
90
100
110
120
130
Height/ Profile
*
70
80
90
100
Rim Size
*
17
18
19
20
21
REAR TYRE SIZE
Width
*
130
140
150
170
Height/ Profile
*
60
70
80
90
100
110
Rim Size
*
17
18
19
20
21
New Tubes
*
Yes
No
Maybe
Spoke Check
*
Yes
No
Maybe
Pre filters installed
*
Yes
No
Maybe
UHF installation bluetooth to helmet
*
Yes
No
Maybe
Bash plates, racks, lights, barkbusters, heated grips, cruise controls, exhaust, or other gear fitted
*
Yes
No
Maybe
Suspension modifications
*
Yes
No
Maybe
Dynamic wheel balancing
*
Yes
No
Maybe
CHOOSE YOUR PREFERRED DROP OFF DATE AND TIME
SELECT PREFERRED DATE AND TIME
*
WHEN DO YOU NEED TO COLLECT YOUR MOTORCYCLE?
*
Critical – Next few days
Urgent – Next 7 days
Soon – Next fortnight
No hurry – Next 30 days
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