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Maintenance Service Checklist

Prior to arriving for your scheduled appointment with us, we ask that you please take a moment to fill out and return this form to us so that we may better serve you. By offering us additional insight to your maintenance requirements and other conditions, our technicians are able to complete your maintenance procedure with greater accuracy. Thank you in advance.

Personal Information

Is This Your First Time Visiting With Us?
Are You The Primary Driver?
Thank you.  Any change in address?
Preferred Method Of Contact *
May We Update Your Repair Status Via Text?

Current Address

Vehicle Information

Do You Have Wheel Locks Installed?
0/255 characters

My Service Request Form

Please Select The Maintenance Service That Meets Your Vehicle Needs (choose one)
 

Oil Menu And Selection

Oil selection guideline: Synthetics and Synthetic blends offer superior protection in any environment. Used with premium quality filters, engines are fully protected against wear. Manufactures are recommending these higher quality oils in todays modern vehicles so that you can enjoy longer engine life, less wear and better fuel mileage. High mileage oil is recommended for vehicles with over 75,000 miles. 

Please Select The Best Oil For Your Car Or Light Truck.
 
 Standard OilHigh MileageSemi SyntheticPremium Synthetic
Choose One

Other Services Available For You

Consider These Items For Inspection (Can't Recall The Last Time They Were Inspected? Simply mark the items needing a review and we can perform the services)

Arrival Time (After hour drop off can use our secure key drop)
 Early AMMid MorningMid-DayEarly PMAfter Hours
Drop Off Time
Do You Require Shuttle Service?
To Where?
PLEASE SIGN: We will perform no service or repairs without first performing a proper estimate and notifying you of the price of the services. Place your signature in the box below. Your digital signature is a legal facsimile of your real signature.  You can draw it with a mouse on any desktop. Or, you can use any stylus or finger tip on a tablet or smart phone. 
credit card *
clear
Please click the SUBMIT BUTTON below to send your information. 
 
Thank You