[cost_calculator_input_box id=”appointment-date” name=”appointment-date” type=”date” label=”APPOINTMENT DATE” placeholder=”Preffered Date of Appointment”][cost_calculator_dropdown_box id=”time-frame” name=”time-frame” label=”PREFFERED TIME FRAME” options_count=”2″ option_name0=”AM” option_value0=”AM” option_name1=”PM” option_value1=”PM” show_choose_label=”1″ required=”0″ top_margin=”page-margin-top”][cost_calculator_input_box id=”appointment-postcode” name=”appointment-postcode” type=”number” label=”Postcode” placeholder=”Postcode” required=”1″ top_margin=”page-margin-top”]SELECT SERVICES NEEDED[cost_calculator_input_box id=”major-service” name=”major-service” type=”checkbox” label=”Major Service” default_value=”1″ checked=”0″ required=”0″][cost_calculator_input_box id=”minor-service” name=”minor-service” type=”checkbox” label=”Minor Service” default_value=”1″ checked=”0″ required=”0″ el_class=”no-border-left”][cost_calculator_input_box id=”oil” name=”oil” type=”checkbox” label=”Oil” default_value=”1″ checked=”0″ required=”0″ el_class=”no-border-left”][cost_calculator_input_box id=”chain” name=”chain” type=”checkbox” label=”Chain” default_value=”1″ checked=”0″ required=”0″ el_class=”no-border-top”][cost_calculator_input_box id=”brakes” name=”brakes” type=”checkbox” label=”Brakes” default_value=”1″ checked=”0″ required=”0″ el_class=”no-border-top no-border-left”][cost_calculator_input_box id=”track-side-assistence” name=”track-side-assistence” type=”checkbox” label=”Track Side Assistance” default_value=”1″ checked=”0″ required=”0″ el_class=”no-border-top no-border-left”][cost_calculator_input_box id=”pre-purchase-inspection” name=”pre-purchase-inspection” type=”checkbox” label=”Pre Purchase Inspection” default_value=”1″ checked=”0″ required=”0″ el_class=”no-border-top no-border-left”]

[cost_calculator_contact_box label=”CONTACT DETAILS” submit_label=”SUBMIT NOW” name_label=”Your Name *” name_required=”1″ email_label=”Your Email *” email_required=”1″ phone_label=”Your Phone” phone_required=”0″ message_label=”Additional Questions or Comments” message_required=”0″ labels_style=”placeholder” terms_checkbox=”0″]