Tire Repair Request

Tire Information

Tire Information

WEKAJEMA BUSINESS TECHNOLOGIES (PTY) LTD

1514 SECTION D, EKANGALA, 1021

Email: info@wekajema.co.za

Phone: 079 052 8389

Website: www.wekajema.co.za

TIRE REPAIR REQUEST

Reference Number

Customer Name

Phone Number

Phone number must contain exactly 10 digits.

Service Type

Section

Stand Number (3 or 4 Digits)

Stand Number must contain 3 or 4 digits only.

Description	Quantity	Unit Price	Total
		R0.00	R0.00
Grand Total			R0.00