Enquiring submitted

Thank you for your interest. We will endeavour to follow up on your enquiry as quickly as possible.

Kind Regards,

Midas

Fleet Enquiry Form

Expression of interest in Fleet Servicing

Date *
Address *
Suburb *
State *
Postcode *

Contact Person *
Company Name *
Email *
Phone *

(Please tick items below which are applicable)

Type of Fleet:
Cars and SUV's

4WD, Utes and Light Commercial

Commercial Vehicle

Mixed fleet

Location of fleet:
National

Multi State

State wide

Local

Total number of vehicles:
Is your fleet:
Internally Managed

Externally Managed (Fleet Management Organisation):

(Please note detail below is required if fleet is partly managed externally)

Name of Fleet Management Organisation (FMO):
Number of vehicles managed by FMO :

Are you interested in being:
(Tick whichever is applicable)
Contacted for an initial discussion

Sent an information package

Comments

I/we agree that I/we am/are submitting any personal and/or sensitive information voluntarily, for the primary purpose of providing information for a Fleet Account with the Automotive Brands Group (ABG) trading as Midas Australia and ABS Automotive Service Centres. ABG will only use your information for a purpose to which the information is relevant - For more information please refer to Midas Australia's and ABS Auto's Privacy Policy at www.midas.com.au. and www.absauto.com.au. I/we also agree that any information provided by ABG will be treated as strictly Confidential; this includes the provision of information to my/our associates or advisors. By ticking this box I/we am/are agreeing to these conditions.