Please complete and send this form and we will follow-up within one business day.

Please phone our Receptionist on (02) 9565 6341 in cases of emergency. For details on how to get to our Glebe facility please visit our Location section.

Please note:
When selecting a Preferred Booking Date, please be advised that we require one business day to process your online booking. As a result;

1) Your preferred date of service cannot be tomorrow.
2) If booking on the weekend, your preferred date cannot be the following Monday.

If you would like your car serviced sooner, please contact us via telephone (02) 9565 6341 to check availability.

Title :	Please specify Mr Mrs Ms Miss Dr	First Name :	*
Surname :	*	Unit/Street Number :
Street :		Suburb :
Postcode :	*	State :	ACT NSW VIC QLD TAS SA WA NT
Country :	Please select Australia Other	if other please specify :
Phone (Day) :		Phone (A/H) :
Mobile Phone :		Email :	*
Company :		Preferred method of contact	Please specify Day Phone After Hours Phone Email
My Vehicle is a :	Please specify Copen Cuore Sirion YRV Terios Delta Truck	My Registration is :	*
Preferred Booking Date :		Preferred Booking Time :
Routine Service For	,000 km
Services
Pink slip - $33.61 including GST Loan car - $38.50*** Change Oil & Filter (POA) Engine Tune Up (POA) 2 Wheel balance $18.00 Replace Engine Coolant (Pas) - $140.00 including GST 4 Wheel rotation and balance $36.00 Replace Engine Coolant (Com) - POR Front wheel alignment $49.50 Replace Brake Fluid - $68.20 including GST Front and rear wheel alignment $79.00 Replace Wiper Rubbers (POA) Front and rear wheel alignment, 4 wheel rotation and balance package $105.00 Check, Clean & Adjust Brakes - $64.20 including GST *** NB : $38.50 per day. Conditions Apply. On Car Injector Flush - $97.50
Detailing Services
Passenger Commercial Bronze Medal Clean $35.00* $45.00* Silver Medal Clean#Please note the seats & carpet will be shampooed as part of the Silver, Gold or Platinum detail and we recommend leaving your vehicle at the dealership over night or leaving the windows open to allow the seats to dry. $70.00 $90.00 Gold Medal Clean#Please note the seats & carpet will be shampooed as part of the Silver, Gold or Platinum detail and we recommend leaving your vehicle at the dealership over night or leaving the windows open to allow the seats to dry. $110.00 $150.00 Platinum Finish Detail#Please note the seats & carpet will be shampooed as part of the Silver, Gold or Platinum detail and we recommend leaving your vehicle at the dealership over night or leaving the windows open to allow the seats to dry. $220.00 $260.00 * Please note: Your free classic car wash with a scheduled service includes an exterior wash and chamois dry.
Preferred Method of Payment :		Please specify Cash Cheque EFTPOS AMEX Diners Club Fleetcard Visa Card Bank/Master Card Other
Where did you first hear about Sydney City Daihatsu?		Please specify Newspaper Internet Radio Other
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Specific Service Requirements or Additional Comments: :