K.A.R.Z - Parts/Service Request
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Date
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Month
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Day
Year
Date
How may I assist you today?
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Parts Sourcing & Delivery (sedan - trucks)
B2B Fleet Maintenance Services
Diagnostic Services
General Servicing - Motor cars only
Mechanical & Electronic Repairs
Other
Please provide more details about your challenge
Please Upload picture of Part(s) or an Image that best describes your repair needs, where possible
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Auto Part Details
Your Vehicle's Make and Model?
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Example Honda CRV
Year
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Chassis Number?
*
Check your motor vehicle registration for this information
Engine Number or Type?
Check your motor vehicle registration for this information if unsure
Your Legal Name? (seen on any picture ID)
*
First Name
Last Name
Phone Number
*
Format: (000) 000-0000.
Email
required to deliver quotes, invoices and sales receipts
If applicable, how would you prefer to receive the item(s)
I will arrange to personally collect items (conditions apply)
I will coordinate with you to send my delivery service
I prefer to have the items delivered to me and delivery cost included in final cost
Not purchasing parts
Other
In general, which day and time below is most convenient for you ? (diagnostic and servicing services)
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Weekdays between 1pm- 6pm
Saturdays between 10am - 4pm
Sundays between 10pm and 3pm (premium service 15% extra on final cost)
Terms & Conditions
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I understand that no refunds are available for used parts. Refunds are not guaranteed for new parts if the parts supplied matches approved quotations. This will be at the sole discretion of K.A.R.Z / Kyril Reece
I understand that there are no warranties for used items.
I understand that while used parts delivered are guaranteed as in good working order, it will be purchased "as is"
I understand that once the item(s) is (are) delivered to me, whether directly or via courier service, the transaction is considered "Delivered".
I understand that it is my full responsibility to ensure that the item(s) on quotations and purchase invoices are what I required.
I understand that me or my courier service agent must sign a delivery slip in order to receive the item.
I understand that diagnostic reports received are advisory, and K.A.R.Z./ Kyril Reece and representatives are not responsible for any subsequent actions I may take.
I understand that all technicians recommend are sub-contractors and are wholly responsible for the repair services rendered. K.A.R.Z/ Kyril Reece is only responsible for repair outcomes from services given by Kyril Reece.
I agree to all of the above
Signature (confirming above, use finger or stylus)
Delivery Address (required for parts)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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