FleetCare Vehicle Transport Request

Step 1 of 4

Requestor Details

Tell us about the person arranging this transport.

Full Name *

Phone *

Email Address *

Step 2 of 4

Collection Details

Where should we pick up the vehicle?

Business Name *

Full Name At Collection *

Phone *

Email Address *

Street Address *

Suburb *

State *

Postcode *

ASAP Collection

Preferred Collection Date

Step 3 of 4

Delivery Details

Where should we deliver the vehicle?

Use Pickles Perth Address? *

Full Name *

Phone *

Email Address *

Street Address *

Suburb *

State *

Postcode *

Business Name *

Step 4 of 4

Vehicle Details

Describe the vehicle being transported.

Registration *

Odometer *

Make *

Model *

Mechanical Condition *

Windscreen Condition *

Fuel Level *

Services Books Included *

Has Two Keys & Remote *

Noted Damage (Optional)

Special Instructions (Optional)

Attachments (Optional)

Drop files here or browse

Images, PDF, DOC up to 10MB each

Request Submitted!

Your vehicle transport request has been received. You will receive an email with further instructions shortly.

Reference

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