New vehicle lease quote request

Person requesting quote

Email Address:

Telephone Number:

Academic/Business Unit Responsible

Name of Authorised Approver

Authorised Approvers Email

Authorised Approvers Contact Number

Cost Centre linked to lease

Cost Centre Name

Are there any special funding arrangements? -- Select an option -- Yes No

Full explanation why a lease vehicle is required

Explain what the primary use of the vehicle will be

Designated Purpose -- Select an option -- Dedicated: ONLY to be utilised by the area responsible Pool Vehicle: Available for use by other University staff

Utilisation -- Select an option -- University Business Only Other

Other Explanation

Vehicle Category according to UniSA's Motor Vehicle Guidelines

Vehicle Category -- Select an option -- Tool of Trade vehicles - Vehicles are restricted to University use only with no private use. Work-Related vehicles- These vehicles have a dual purpose of private and University use during business hours

Please provide the make/model and also the link to the exact vehicle you require a quote for.

Transmission -- Select an option -- Automatic Manual

Fuel -- Select an option -- 91/95/98 Unleaded Diesel Other

If other is selected, please add further details:

Delivery Address

Garaging Address

Colour

List Additional Options

Signage

All University vehicles must have signage installed. Standard signage is the logo and UniSA website. If you wish for other signage to be installed or have the vehicle wrapped, please provide details via UniPrint Portal.  https://i.unisa.edu.au/staff/facilities/fm-assist-services/uniprint/uniprint_portal/

Lease Terms -- Select an option -- 6 Months 12 Months 24 Months 36 Months 48 Months Other

If other is selected, please specify length of term

Term (Kms) -- Select an option -- 10 000kms 15 000 kms 20 000 kms 25 000 kms 30 000 kms

Delivery Date

Is this vehicle replacing an existing lease? -- Select an option -- Yes No

If replacing existing lease, provide current registration number

Accepting the Vehicle

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