Service Appointment Form

If you would prefer to speak to someone directly:

CALL: (519) 455-1800

Service Information and Appointment Request
Type of Service:
Priority:
Complete this section if you would like information on or an appointment for a specific vehicle
Year:
Make:
Model:
Cylinders:	4 5 6 8 10 12
Transmission:	Standard Automatic
Drive Train:	2 Wheel Drive 4 X 4 All Wheel Drive
Serial Number:
Preferred Date:
Alternate Date:
Preferred Time:
Shuttle Ride?:
Is your vehicle drivable now? Yes No
Would you like us to arrange towing? Yes No
Problems Now? Yes No
Describe current problem(s)
Tell us how we may contact you
Salutation:
First name:	* REQUIRED
Last Name:	* REQUIRED
Address:
Address 2:
City:
Province:
Postal Code:		Best Time
Day Phone:	()- X
Evening Phone:	()- X
E-mail:	* REQUIRED
Is there other information you need or can provide?
Other Information