Inquiry Form

Name:

Date:

Mileage:

Vehicle:

Year:

Lic No:

Address:

Returning:

Color:

TEL Digicel:

Email:

TEL Lime:

Date of Birth:

Chassis:

Kindly complete this checklist by placing a tick in the respective boxes.
Any discrepancies should be detailed in the section provided at the bottom of the sheet.

Engine:

ITEMS TO BE CHECKED:

Start Engine check dashboard for the following indicators

Fuel level
Oil level
Coolant level
Power steering oil level
Check tires for wear and pressure (20% 30% 50% 60% 80% 100% other indicate)

Engine Light	ABS Light	Brake Light
E 1/4	1/2 3/4	F
E 1/4	1/2 3/4	F
E 1/4	1/2 3/4	F
E 1/4	1/2 3/4	F

GoodDefective

Following discrepancies were noted: .......................................................

I hereby authorize Superior Parts Limited to effect repairs and supply necessary materials relating to this job and grant your employees permission to operate the vehicle described above on streets, highways, and elsewhere for testing and inspection.

50% deposit is to be made on all jobs.

Superior Parts Ltd will not be held responsible for jobs left over 30 days.

Date:

Customer's Signature: