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For any inquiries or to book an appointment, please fill out the form below or give us a call at (0489214979).

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E mail- mark@nextphaseauto.com.au

Mobile - 0489214979

Servicing Gold Coast to Tweed heads and surrounding suburbs.

NextPhase Auto - Intake Form

Name *

Email address *

Phone/Mobile Number *

Vehicle Make *

Vehicle Model *

Year Vehicle Built *

Type of Vehicle *

ICE (Internal Combustion Engine)
Hybrid
PHEV (Plug in Hybrid Electric Vehicle)
Electric Vehicle

Last 8 Digits of the VIN (Vehicle Identification Number) *

Odometer Reading *

What's Happening to your Vehicle?? Jot down anything unusual—warning lights, noises, performance issues. If you’ve got a dealer card or notes, you can upload them below. *

Previous Repairs or Diagnostics: Briefly describe any recent repairs or diagnostic checks. Upload any files you have below, it all helps *

Prepurchase Vehicle Leave a comment about the vehicle, whether it's a purchase, Your selling, then at the end of this form upload the dealer card or case study describing the condition of the Vehicle and what needs to be done. *

SOH (Battery Health Report) If you have a previous battery health or SOH report, please upload it in the documents section at the end of this form. If this is your first time or no report is available, simply write “No information” below. *

Upload any files you have that relate to the vehicle that is being tested, The more information we receive the better the result of the report. *

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