Step 1 Please confirm installation date and time with our mobile service - Dean Cain 0411 123 329

Step 2 Please complete all of the information below and press "submit". Click here for printer friendly version if you are using a fax (fax number 07 3807 5860).

From (Dealer):
Order No:
Dealer Contact Name:
Email Address:
Date of Install:
Time of Install:
Installation has been confirmed with:
Caintech Installation
Customer
For Hands Free Kit installations, please confirm the following with the customer
Is there an existing hands free kit?
yes no
Is an antenna to be supplied by Caintech?
yes no
Is Custom (no holes drilled) Installation required?
yes no
Type of Installation Required:
Standard Install
Custom Install
Deinstall & Reinstall
Deinstall only
Service Call (warranty) Click Here to read details of our warranty statement
Service Call (non warranty)
Brief description of fault:
Customers Name:
Address of Installation:
Contact Name:
Contact Phone Numbers:
Type of Vehicle:
Rego:
Equipment to be installed:
Location of Equipment:
on site
other (provide address details)
NB. If equipment is to be collected by Caintech from another location prior to installation, a fee of $50 will be charged in addition to the cost of the installation.
Special Instructions:
 

 

   
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