HaulCAR Online Booking Form

Please note this form's SUBMIT BUTTON is CURRENTLY OUT OF ORDER. Technicians are working to rectify the problem which is preventing the submission of completed bookings.

You can either check back in 3-4 hours or try to complete the form & if it fails to submit simply take a screen shot of the information in the completed form & email to:

bookings@haulcar.com.au

Thank you for your patience & understanding...

Name*

First NameLast Name

Company

Email*

example@example.com

Phone Number*

Please enter a valid phone number.

Vehicle Make & Model*

Vehicle Make*

Vehicle Model*

Vehicle Type*

Registration No.

Vehicle ID No. (VIN)

Last 7 only (numbers or letters).

Vehicle Available*

Date

Service Type*

Depot-to-DepotDoor-to-DoorDepot-to-DoorDoor-to-Depot

Departure Depot*

Pick-up Address

Pick-up Address*

Pick-up Contact*

Pick-up Phone*

Please enter a valid phone number.

Arrival Depot*

Delivery Address

Delivery Address*

Delivery Contact*

Delivery Phone*

Please enter a valid phone number.

Quote/Reference No.

Quoted Rate*

Additional Notes

File Attachment

Account Name

ServiceType

VehicleClass

PUPAddress

PUPContact

PUPPhone

PUPOpr8r

DELAddress

DELContact

DELPhone

DELOpr8r

Reg

VIN

Ref