Extended Warranty Quote Form

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Vehicle Type

Choose Vehicle Type(Required)

Select Year(Required)

Choose Make(Required)

SELECT MODEL

Enter Model(Required)

(ie: Commodore)

Enter Series

(ie: VE)

Enter Badge

(ie: SS)

VEHICLE DETAILS

Current Odometer Reading(Required)

Enter current odometer reading

Hours

Registration Number

VIN Number

Is this a Hybrid or Electric Vehicle?(Required)

COVER COMMENCEMENT DEALER 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.

COVER COMMENCEMENT - CURRENTLY OWNED, PRIVATE OR AUCTION PURCHASE

30 Day mandatory wait period applies from warranty purchase.

Is this vehicle currently owned or being purchased through a Private Sale or Auction?(Required)

What Is the date of purchase?(Required)

Name Of Dealership / Retailer(Required)

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

Is the vehicle currently covered by a dealership 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)

Country

EXTENDED WARRANTY QUOTE

Please complete the form below for a warranty comparison.

Vehicle Type

SELECT MODEL

VEHICLE DETAILS

COVER COMMENCEMENT DEALER PURCHASE

COVER COMMENCEMENT - CURRENTLY OWNED, PRIVATE OR AUCTION PURCHASE

Your Details

EXTENDED WARRANTY QUOTE

Please complete the form below for a warranty comparison.

Vehicle Type

SELECT MODEL

VEHICLE DETAILS

COVER COMMENCEMENT DEALER PURCHASE

COVER COMMENCEMENT - CURRENTLY OWNED, PRIVATE OR AUCTION PURCHASE

Your Details

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