Rock-it Autotek Vehicle Service Request / Job Intake Form

Rock-it AutoTek: Service/Job Request Form

Book your vehicle Service with Rock-it Autotek. Complete the form below and our team will review your request and contact you to confirm your appointment and provide provisional quote.

Section 1: Customer Information
Full Name

First NameLast Name
Whatsapp / Contact Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Address Line 1
Parish

Section 2: Vehicle Information
Vehicle Type
Vehicle Year
Vehicle Make
Vehicle Model
Transmission Type
Vehicle Registration Number / Licence Plate
Chassis/VIN Number
Engine Number
Odometer Reading (kilometers)

Section 3: Service Requested
Service(s) being requested
Describe the issues or services needed
Please provide details about the issues or services needed (warning lights, noises, service overdue, etc.).
Upload Photos, Videos, and Documents

Please upload photos, videos, and documents related to your service request (e.g.: dashboard lights, leaks, damaged parts).
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Section 4: Scheduling
Vehicle Drop-off and Pick-up Options
Preferred Appointment Date

DayMonthYear
Date
Preferred Appointment Slot

Section 5: Request Submission
Submission Note

Upon completing this section, you can submit the request for review, pricing and scheduling.

A Representative of Rock-it Autotek will review and contact you for any areas that require clarity and/or provide your provisional quotation/invoice via email or whatsapp. This will be done at Section 6- Provisional Quotation/Invoice.

Once completed you receive a copy of your provisional quotation/invoice via email or whatsapp, you can to proceed to Section 7- Payment and complete payment processing.
Customer Acknowledgement

Section 6: Provisional Quotation / Invoice
For Official Use Only

This section will be completed by a Representative of Rock-it Autotek.

Once completed you will receive a copy of your provisional quotation/invoice via email or whatsapp to proceed to Section 7- Payment and complete payment.
Rock-it Autotek Representative Notes
Upload Invoice or Quote

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Section 7: Payment
Payment Terms

Services with fees payable in full prior to commencement are:
- Vehicle Purchase Inspection
- Call-out
- Purchasing of Parts
- Special Order(s) of Parts
- Conceirge fees
All other services:
- A minimum deposit of 50% of provisional quote/invocie is required before any work starts, regardless of payment method (PayPal, Direct Transfer, 1stPay, or Cash).
- The difference between the amount deposited and the total actual charge are due upon of completion work.
Proof of payment(s) shall be submitted/uploaded.

Bookings may be cancelled due to non-payment.
Cash Payment Instructions
1. For cash payments, you must bring the exact amount; we do not provide change.
2. Payments are due in accordance with the Payments Terms.
Cheque Payment Instructions
1. Acceptance of cheque payments, are limited and only when agreed.
2. Any returned cheques will incur a fee of $50.
3. The returned cheque fee SHALL be paid in cash when vehicle is dropped off or picked up.
4. This amount will be refunded to customer via electronic transfer ONLY, once the cheque has cleared.
5. Upload a copy of filled out cheque.
1stPay Payment Details
1. Transfer Number: 12468517625
2. Upload proof of payment.
Direct Transfer Payment Details

Recipient Name: Shawn Rock

Recipient Bank: (CIBC) First Caribbean International

Bank City: Bridgetown

Branch Name: CIBC Speighstown

Branch City: Bridgetown

Branch Transit: 09636

Bank ABA Number: 000000010

BIC /Swift: FCIBBBBB

Account Type: Chequing

Account Number: 1001217763

Account Currency: BBD

Reference Instructions: Please include your full name, and quotation/invoice number (if applicable)
Payment Method
Proof of Payment

Cancelof
Customer acknowledgement/consent to payment instructions and terms.
Should be Empty:

Rock-it AutoTek: Service/Job Request Form

Section 1: Customer Information

Section 2: Vehicle Information

Section 3: Service Requested

Section 4: Scheduling

Section 5: Request Submission

Section 6: Provisional Quotation / Invoice

Section 7: Payment