Rear & Vehicle Accessory Form

Job

SC

Email address *

Type *

WindscreenRear glass

Does your vehicle have any aftermarket modifications fitted to the front of your vehicle? (eg. Digital Antenna, Snorkel, Lift Kit, Spotlights or Aerial) *

YesNo

Thank you, no further questions are required. Please press submit.

Is your vehicle fitted with a Snorkel? *

Yes - Driver sideYes - Passenger sideNo

Has your vehicle been fitted with a lift kit? *

YesNo

Please advise how many inches the vehicle has been lifted

Do you have anything on the top of your roof or windscreen that protrude (i.e spotlights, sun visors, roof racks)? *

YesNo

Is your vehicle fitted with an aftermarket aerial? *

YesNo

Do you have a Digital Antenna (Genuine or Aftermarket) on your windscreen? *

YesNo

If you wish to advise us of any other accessories on or around your windscreen, please list them below

If you answered YES to any of the above questions, please provide pictures of your accessories at least 2 meters away from your vehicle. Please see sample photos for assistance.

Upload photos here *

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Do you have anything blocking our access to the rear glass on your vehicle from the outside? (i.e roller bars, canopy, protective window guard, ladder etc) *

YesNo

Thank you, no further questions are required. Please press submit.

Please list any other accessories you might have on your vehicle that is blocking our access to your rear glass below

Please provide pictures of your accessories at least 2 meters away from your vehicle. Please see sample photos for assistance.

Upload the photos here: *

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