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PLEASE NOTE: The information you provide in the form to the right does NOT guarantee your requested appointment date and time. We will confirm your request by email or phone. Thank you for the opportunity to be of service.
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Name
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First
Last
Email or Phone Number
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Please enter your email address or phone number and we will know how to best follow-up with you.
Vehicle Year
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Vehicle Make
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Chevrolet, Chrysler, Ford, Honda, etc...
Vehicle Model
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Focus, Malibu, F250, etc...
Maintenance Items
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No Maintenance (only repairs)
Oil Change
Coolant Flush
Transmission Flush
Power Steering Flush
Tire Balance/Rotation
Other (describe below)
Repair Items
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Brake Inspection/Repair
Engine Tune-up
Heating/Air Conditioning
Suspension
Fuel System
Electrical System
Other (describe below)
Additional comments, instructions, concerns, etc...
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Requested Service Date
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Requested Service Time
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Submit