Ticket Quotation or Equiry

Ticket Quotation or Equiry
Are you a GIR client?*

Yes, I am an existing clientMy family member is your clientMy friend referred meI heard from my friend but I don't have his/her contactI found from google/other websiteOther
We appreciate your support.

感謝您一直以來的支持。

If the referrer’s name and contact information (phone or email) cannot be provided, the discount may not apply.
如未能提供介紹人姓名及聯絡方式（電話或電郵），可能將不會提供優惠價。
We appreciate that you found GIR through another website. To thank you for choosing GIR, you’ll receive a discounted rate.
感謝您透過其他網站找到 GIR。為了感謝您選擇 GIR，我們將為您提供折扣價。
Source (e.g., company, website, referrer)

Company/website/First NameLast Name
Referrer Email
example@example.com
Referrer Phone Number
Please enter a valid phone number.
Are you a ticket holder/Driver?

YesNo, please enter "Your Name"
Your Name

First NameLast Name
Ticket holder Name*

First NameLast Name
What is the best time to contact you?
ex: 10:30am-5pm or anytime
Prefer language?*
Driver Contact Number*
This number must be the ticket holder's contact number.
Contact Number
Additional contact number.
Email*
example@example.com
Driver's Licence no.*
Enter without space
The vehicle you drove on the date of offence was:*

Personal vehicleCommercial vehicle
Offence date/the date you got ticket*

MonthDayYear
Date (If the ticket(s) offense date is not on the same day, please enter another request)
Number of ticket(s) you received*
If the ticket(s) is not received on the same day, please submit another request.
Did the officer issue a warning to you? *

Yes. Please upload the warning ticket as wellNo
Have the ticket(s) been filed or a court date is indicated on the ticket?*
When is ticket's court date?

MonthDayYear
Date
Please answer a few questions before you submit all the ticket(s):
Is it a camera ticket charge?*

Yes, it is a camera ticketNo, it is a ticket charge by an officer
What is the charge on the ticket? (if the charge is not on the list, please select other)

SpeedingStunt driving/racingSign related (e.g. stop sign, contrary to sign regulation)Red/amber lightSeat beltTurn related (e.g. fail to signal, improper turn)Distracted driving (e.g. hand-held)Careless drivingInsurance relatedLicense suspensionCommercial vehicle relatedOther (upload tickets below then describe the event in the description box)
Describe a drive-hand-held communication device.

I was textingI was talking on the phoneOther
For speeding: Charge ? km/hr in a ? km/hr zone. Was speed reduced by an officer on the roadside? No Yes If yes, ? km/hr(reduced)
Were you involved in a traffic accident?*
If yes, please type in detail in the description field & upload related photos (taken at the scene)& documents; dashboard camera recording by email
Upload for all ticket(s), Notice of Trial letter, or related documents*

We don't accept any hidden/blocked information on your ticket(s)/documents. Accepted file types: pdf, doc, docx, xls, xlsx, csv, txt, rtf, html, zip, mp3, wma, mpg, flv, avi, jpg, jpeg, png, gif. If you use a mobile phone to fill up the form, you can use the phone camera to submit documents. Please upload file size below 2MB.
Cancelof
Description field for other offense or other comment:
Please write details for your charges or accident description.
Please input required ticket(s) or summons information below:
(Sample ticket: What are the ICON# and offence number?)
ICON (optional)
4 digits at the top left of your ticket(start 0,1,2,3 or 4)
Ticket Offence number
Find the numbers at the top right of your ticket
Select the offence
If selected "OTHER", upload the ticket(s) required, & enter a comment in the description field.
Select the offence
If selected "OTHER", upload the ticket(s) required, & enter a comment in the description field.
Select the offence
If selected "OTHER", upload the ticket(s) required, & enter a comment in the description field.
Select the offence
If selected "OTHER", upload the ticket(s) required, & enter a comment in the description field.
Select the offence
If selected "OTHER", upload the ticket(s) required, & enter a comment in the description field.
Select the offence (e.g. speeding, etc.)
If selected "OTHER", upload the ticket(s) required, & enter a comment in the description field.
Ticket 2. Offence number
Find the numbers at the top right of your ticket
Select the offence (e.g. speeding, etc.)
If selected "OTHER", upload the ticket(s) required, & enter a comment in the description field.
Ticket 3. Offence number
Find the numbers at the top right of your ticket
Select the offence (e.g. speeding, etc.)
If selected "OTHER", upload the ticket(s) required, & enter a comment in the description field.
Ticket 4. Offence number
Find the numbers at the top right of your ticket
Select the offence (e.g. speeding, etc.)
If selected "OTHER", upload the ticket(s) required, & enter a comment in the description field.
Ticket 5. Offence number
Find the numbers at the top right of your ticket
Select the offence (e.g. speeding, etc.)
If more than 5 ticket(s), please upload all the tickets & related documents.
How much do you expect to pay for this case service?
How much do you expect to pay for this case service?
Thank you for filling out the information. Before you click “Submit”, please let us know the fee you **expect to pay for this service. **For internal reference only, not final service fee.
info@girservices.com
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