Appointment Request Form

Use this form to request a service appointment.

Does your car sound like one of the noises below? Please tell us.

Definitions of Noise:
BOOM: A sound like a drum roll or distant thunder
CLICK: A light sound like a ball point pen being clicked
CLUNK: A metal to metal sound, like a hammer striking steel
GRIND: An abrasive sound like a grinding stone
GROWL: A low wound like an angry dog
HISS: Like a wire humming in the wind
KNOCK: Like a knock on a door
RATTLE: A sound like marbles rolling around in a can
SQUEAL: A high pitched sound like finger nails across a chalk board
SQEAK: A sound like rubbing a clean window
WHINE: A high pitched sound, like an electric motor or drill

Vehicle Information

Dealership were you would like work done

*Manufacturer:

*Year:

*Model:

Miles:

VIN Number:

Service Information

                                       Click her to find out more information
                                                                                         on Service appointment

*Type of Service Needed:                                        Click here to find out about timing
                                                                                               belt replacement

My Car sound like one of the sounds listed above:
Please choose all that apply

BOOM: A sound like a drum roll or distant thunder
CLICK: A light sound like a ball point pen being clicked
CLUNK: A metal to metal sound, like a hammer striking steel
GRIND: An abrasive sound like a grinding stone
GROWL: A low wound like an angry dog
HISS: Like a wire humming in the wind
KNOCK: Like a knock on a door
RATTLE: A sound like marbles rolling around in a can
SQUEAL: A high pitched sound like finger nails across a chalk board
SQUEAK: A sound like rubbing a clean window
WHINE: A high pitched sound, like an electric motor or drill
None of the above

*Preferred Appointment Time:

*NOTE - PLEASE GIVE SERVICE DESK ONE WEEK NOTICE
NO SATURDAY OR SUNDAY APPOINTMENTS -THANK YOU

Pick the Date you would like to have your car serviced:


*Alternate Appointment Time:

Contact Information

*Name:

*Email:

*Home Phone:

*Day Phone:

Fax:

Preferred Contact:

*Address:

City:

State:

Zip:

*These fields are required