Kurt's Online Appointment Request

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Thank you for using our online appointment request system.  Please complete the form completely and then click the "Submit" button below.

Online appointments must be requested at least 48 hours in advance.  If you need to visit us sooner please call us at one of the phone numbers listed above during normal business hours (7:30 - 5:00, Mon thru Fri.).

Any information submitted below will be used solely for your appointment request and held in complete confidence.

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Please tell us how to contact you :
(all fields in bold are required)

Name
(Company)
Address
City
State	AK (Alaska) AL (Alabama) AR (Arkansas) AZ (Arizona) CA (California) CO (Colorado) CT (Connecticut) DC (Dist. Of Columbia) DE (Delaware) FL (Florida) GA (Georgia) HI (Hawaii) IA (Iowa) ID (Idaho) IL (Illinois) IN (Indiana) KS (Kansas) KY (Kentucky) LA (Louisiana) MA (Massachusetts) MD (Maryland) ME (Maine) MI (Michigan) MN (Minnesota) MO (Missouri) MS (Mississippi) MT (Montana) NC (North Carolina) ND (North Dakota) NE (Nebraska) NH (New Hampshire) NJ (New Jersey) NM (New Mexico) NV (Nevada) NY (New York) OH (Ohio) OK (Oklahoma) OR (Oregon) PA (Pennsylvania) RI (Rhode Island) SC (South Carolina) SD (South Dakota) TN (Tennessee) TX (Texas) UT (Utah) VA (Virginia) VT (Vermont) WA (Washington) WI (Wisconsin) WV (West Virginia) WY (Wyoming)
Zip Code
Phone 1
Phone 2
E-mail

When would you like to come in?

Date:  (mm/dd/yy)

Morning	Will Drop Off
Afternoon	Can Leave All Day

Which location would you prefer?

Harrison Avenue Cunningham Street	(Harrison Ave. location info) (Cunningham St. location info)
Note:  Some services may only be available at one location.  We will contact you if we cannot serve your needs at the location you request.

Scheduling Notes:

Tell us about your vehicle:

Vehicle Year:   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 OLDER       ( Older: )

Vehicle Mfg: (Other) Acura AMC Audi BMW Buick Cadillac Chevrolet Chrysler Dodge EV1 Eagle Fiat Ford GM Geo GMC Honda Hummer Hyundai Infiniti Isuzu Jaguar Jeep Land Rover Lexus Lincoln Mazda Mercedes-Benz Mercury MG Mitsubishi Nissan Oldsmobile Plymouth Pontiac Porsche Renault Saab Saturn Subaru Suzuki Toyota Triumph VW Volvo
      ( Other: )

Vehicle Model: 

Select any of the following options that apply:

Coupe	Front Wheel Drive	4 cylinder
Sedan	Rear Wheel Drive	6 cylinder
Fastback	Four Wheel Drive	8 cylinder
Wagon		10 cylinder
SUV	Manual Transmission	12 cylinder
Pickup	Automatic Transmission

What kind of work do you need performed?

Select any of the following that may apply:

Oil Change	Clutch	Brakes
Fluid Check	Automatic Trans	Shocks
Tune Up	Exhaust	Steering
Performance
	Heating	Tires
Interior	Cooling	Alignment

Please describe your automotive questions here:

 

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