Please check all that apply:

Brake Special (10% off any brake service up to $80.00 savings)
Service Special ($59.95)
Pre-Purchase Inspection ($90.00 to $210.00)
Timing Belt Special ($255.00 )
Inspection I (Minor Service)
Inspection II (Major Service)
Brake System Inspection/Service
Electrical System Inspection
Pre-Trip Inspection
Other,    Please specify:

Please describe any special problems you are having with your vehicle:

Please provide your vehicle year/make/model:*

Odometer reading:

Desired date and time for your appointment:*

Check this box if you need
shuttle service to/from work:

Name:*

Address: 

City:

State:

Zip:

Contact Phone:

E-mail address:*

Your appointment will be confirmed by e-mail to the
above e-mail address.