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Centerpoint Transportation Repair Form
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* Indicates required question
What is Today's Date?
*
MM
/
DD
/
YYYY
What is your name?
*
Your answer
What vehicle has a problem?
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Choose
Bus 00
Bus 02
Bus 03
Bus 05
Bus 07
Bus 08
Bus 09
Bus 10
Bus 22
Bus 25
Bus 26
Bus 27
Bus 28
Bus 29
Bus 30
Bus 31
Bus 32
Bus 33
Bus 34
Bus 35
Bus 36
Bus 37
Bus 39
Bus 40
Bus 41
Bus 42
Bus 43
Bus 44
Bus 45
1979 Home Made Trailer
1997 Dodge Van
1989 Dodge Pickup - Trash
1992 Ford Pickup - Lift
1994 Chevy Pickup - Shop
1994 Dodge Van
1994 Dodge Van - 541
1997 Chevy Pickup - Maintenance
1998 Ford Van
2001 Home Made Trailer
2003 Ford Taurs
2005 Dodge Durango
2006 Dodge Magnum
2006 Dodge Stratus
2006 Pickup - Band
2007 GMC Truck
2009 Big T Trailer
2015 Ford Explorer
2017 Dodge Journey
2017 Spartan Trailer
2017 Sundowner Trailer
2018 Dodge Caravan
Please give a description of the problem.
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Your answer
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