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37+ YEARS OF CERTIFIED PAINT REFINISHING MASTERY
"Proudly serving vehicle owners across Masterton, Carterton, Greytown, Martinborough, and the wider Wairarapa region."

CUSTOMER INFORMATION FORM

KIWI SHINEWORX & Air Conditioning

Customer Check-In & Service Request Form

Welcome to Kiwi ShineWorX! Please complete this short form so we can record your vehicle details and understand the services you require.

SECTION 1 — CUSTOMER INFORMATION

SECTION 2 — VEHICLE INFORMATION

SECTION 3 — SERVICE REQUIRED

Other Services:

Other:

SECTION 4 — ADDITIONAL INFORMATION

SECTION 5 — CUSTOMER DECLARATION

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