Request for Information

Providing Reliable Interlock or Personal Solutions with Care and Professionalism.

Helping you drive safely and confidently

Contact Details

Information Type *

First Name *

Last Name

City / Town / Suburb

Select Your Home State *

Email Address *

Enter Mobile Phone Number *Example +61412345678

Enter Your Website *

Vehicle Details If Applicable

Year

Make

Model

Vehicle Voltage *

12V24V

Additional Information

Privacy Statement

Affordable Interlock Systems (AIS) collects your personal information to provide you with a quotation. Your personal information will not be used for a further purpose or disclosed to a third party without consent unless authorised to required to by law. Further information about our privacy handling practices can be accessed here

AIS-NET-O-021

21Feb2025 V1.0