UHR Contact Making Arrangement:

Company/Business Name:

ABN:

Trading Name:

Street Address:

Suburb:

State:

Postcode:

Main Phone:

Name:

Position:

Mobile:

Email:

IS THE ADMIN CONTACT THE SAME AS ABOVE? If not please complete the details below: YesNo

Name:

Position:

Mobile:

Email:

Start Time:

How many per hour by Day?

Notes on Bulk Assessments:

TO

TO

Notes on Tech Access:

AS ABOVE? If not please complete the details below: YesNo

TO

TO

Notes on on Repair Drop offs/Pick Ups:

Bay Rental Rate:

Percentage Discount on PDR Work to UHR:

Payment Terms – 30 Days with Invoice Supplied with returning vehicle

Notes on Commercials:

Add any variances to payment terms here

Space Only:

YesNo

R&R:

YesNo

Wash:

YesNo

Parts:

YesNoCONV Scope

Any Other Note: