CBD CYCLES Shop 1
50 Bourke Street
(03) 9639 2299

Online Service Booking Form

Firstname:		Surname:
Email:		Phone:

Brand:		Model:
(E.g. Giant, Cervelo, Trek, Scott, Specialized)		(E.g. TCR, Defy, R3, S5, Cypress, S-Works)
Colour:		(The colour of the bike)

Store:
Drop-off:		(The date/time you will drop off - eg "Thu Aug 11th, 10am")
Pref. Pick-up:		(Preferred pick up date/time - eg "Fri Aug 12th, 4pm")

Free Service*: \|	General Service: \|	Premium: \|	Platinum: \| Other:
(* - a Free Service is one included in the 12 months servicing period from the date of purchase of a bike bought from us.)

Servicing Requested/Notes: (e.g. slipping in 3rd & 4th gear, creaking noise, please lube chain, true front wheel)



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