FLYING FIX MOBILE BICYCLE SERVICE BOOKING FORM Name(required) Email(required) Phone number (preferably mobile)(required) Suburb (free Callout with Basic, Standard, Premium or Ultimate Service Packages if your suburb is in this list)(required) Auckland CBD Arch Hill Avondale Balmoral Bayswater Belmont Birkdale Birkenhead Birkenhead Point Blockhouse Bay Chatswood Cheltenham Devonport Eden Terrace Ellerslie Epsom Forrest Hill Freemans Bay Glendowie Glenfield Grafton Greenlane Greenwoods Corner Grey Lynn Herne Bay Highbury Hillcrest Hillsborough Kingsland Kohimarama Lynfield Meadowbank Mission Bay Morningside Mount Albert Mount Eden Mount Roskill Mount Wellington Narrowneck New Lynn Newmarket Newton New Windsor Northcote Central Northcote Point Onehunga One Tree Hill Orakei Oranga Owairaka Panmure Parnell Penrose Point England Point Chevalier Ponsonby Remuera Royal Oak St Heliers St Johns St Marys Bay Sandringham Stanley Bay Stonefields Takapuna Te Atatu Peninsula Te Papapa Three Kings Waterview Western Springs Wairau Valley Westlake Westmere OTHER - Callout fee may apply Suburb (if not in list above) Bike make & model(required) Bike type MTB Road Commuter / Hybrid / Touring BMX Kids bike E-bike - surcharge may apply Other / don't know Which service package would you like?(required) Basic Service $99 Standard Service $155 Premium Service $189 Ultimate Service $299 Onsite bike Assembly from $99 Custom Service - from $99 please give details below BUY GIFT VOUCHER - please give details below Shockwiz Hire - $99 first day $50 additional days + Bond required Comments - if there's something you'd like Flying Fix to know about your bike, or if you're requesting a Custom Service quote, please give details here Promo code - if you have one How did you hear about Flying Fix? Other Google Facebook Strava Instagram Riding Club Friend / word of mouth Flyer Company intranet Saw the Flying Fix van Repeat customer Submit Flying Fix accepts cash, EFTPOS and major credit cards including Visa and Mastercard on return of bicycles. Flying Fix does not surcharge for credit card payments. All prices include GST.