Intake form

Name *

Email address *

What type of vehicle do you have?

Please select at least one option.

Car

Van

4WD

Truck

Agricultural

Earthmoving

What services are you interested in?

Please select at least one option.

Tyres

Brakes

Shocks

Wheel Alignments

Alloy Truck Rims

Mag Wheel Packages

Wheel Balancing

Truck Rim Polishing

Batteries

What is your preferred contact method?

What is your vehicle's registration number?

What is the approximate mileage of your vehicle?

Are you experiencing any specific issues with your vehicle?

Where are you located?

Additional questions or comments

BAW Tyres & More