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Vehicle Service Request Form
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Email
*
Your email
Oil change 5qts (prices do not include cartridge oil filters or extra oil qts, additional cost may apply)
Service Needed
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Oil change
Brakes
Belt and hoses
Steering and suspension
Tire rotation and air pressure check
Routine maintenance
Charging system
cooling system
Other:
Required
Vehicle Make, Model, Year
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Your answer
Vehicle Identification Number (VIN) 17 digits
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Your answer
Preferred date of request (appointments are subject to availability, morning drop off only, waiters are not accepted)
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MM
/
DD
/
YYYY
Vehicle drop off will be accepted from 7:30am to 12:30pm
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Time
:
AM
PM
Name and Last name
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Your answer
Phone
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Your answer
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