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Franchisee Details
Franchisee Name
(required field)
Franchisee D Number
e.g: d97000 (required field)
Client Details
Helpdesk Pin
(field required) - 5 digit number found on the back of scan tool (silver sticker)
Workshop Name
(required field)
Contact Name
(required field)
Workshop Address
Suburb
State / Country
(required field)
ACT
NSW
NT
QLD
SA
TAS
VIC
WA
New Zealand
Postcode
(required field)
Workshop Telephone
(required field)
Fax Number
Mobile Number
E-mail Address
(Required field)
Would you like to receive special offers and product info via email?
Yes
No
Did you purchase the tool on Trade Card?
Yes
No
Tool / Use Details
Product / Platform Purchased
(required field)
Zeus
Solus Legend
Triton
Ethos
Ethos Edge
Solus Edge
Solus Ultra
Solus Pro
Vantage Pro
Modis Edge
Verus
Verus Edge
Verdict
BikeScan
Air Conditioning Machine
Scangas
Nexiq Prolink IQ
Pocket IQ
What type of work does your workshop do on a daily basis?
General Servicing
EFI Specialist
Auto Electrical
Steering & Suspension
Brake & Clutch
Smash Repairer
Heavy Vehicle
4WD Specialist
Other
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