Please take a moment to thoroughly fill out the information below so we can expedite your visit, making it short and easy with the service and care you have come to expect. Before final arrangements will be made, we will contact you to confirm the appointment and cost of repairs.

Information marked with an * is required.

Make*

Model*

Year* Select a Year 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960

Kilometers

Vehicle Identification Number

Name*

Address*

City*

Province*

Postal Code*

Email Address

Day Phone

Evening Phone

Preferred Contact Method Any Day Phone Evening Phone Email

Best Time to Contact Morning Afternoon Evening

Service(s) you are interested in receiving 5000 Km / Three Month Mini Service
7500 Km / Six Month Minor Service
15000 Km / One Year Intermediate Service
30000 Km / Two Year Major Service
45000 Km / Two Year Intermediate Service
60000 Km / Four Year Intermediate Service
Change engine oil and filter
Change transmission oil
Engine tune-up
Front end alignment
Replace muffler
Safety inspection
Adjust brakes
Repair lights
Oil leaks
Tire rotation/balance
Radiator flush
Air conditioner repair

Desired date/time to schedule appointment

Other service needs or problems