New Customers NEW CUSTOMER REGISTRATION ADMINMichelleNickKielOFFICEEssendonPascoe ValeWORK TYPEInsurancePrivateThird PartyOtherLEAD TYPEPhoneInternetWalk-InReferralACTIONTo be QuotedAwaiting Claim NumberAwaiting TP LiabilityQuoted – Awaiting AuthQuoted – Follow Up CustAuthorised – await clientAuthorised – booked inPrivate Job AuthorisedCancelled – CustomerCancelled – InsurerAssemblyPanelPaintDetailCompletedTASK DATE Date Format: MM slash DD slash YYYY REPLACEMENT VEHICLE?YesNoUnsure*Are Your Repairs...InsurancePrivateThird PartyOtherYOUR VEHICLE DETAILSUPLOAD IMAGESClick to upload photos of the damage to your vehicle...OTHER PARTY (If Relevant)UPLOAD IMAGESClick to upload photos of the damage to the other party's vehicle...HOW DID YOU HEAR ABOUT US?Was it...InternetGoogle Search EngineGoogle AdFacebookOther Social MediaWord of MouthDrive Locally/Shop SignagePrevious CustomerWebsiteInsurance ReferralOtherAUTHORITY TO REPAIRI, the below signed, have authority and hereby agree to my vehicle being repaired.PLEASE SIGN: This iframe contains the logic required to handle Ajax powered Gravity Forms.
