Service Request Form
Please complete the below fields. We will reach out to you within 24 business hours to confirm an appointment time. Thank you for choosing Todd's Car Team!
Full Name
*
First Name
Last Name
Contact Number
*
Please enter a valid phone number.
Email Address
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
I prefer to be contacted by:
Text
Email
Phone
Year, Make, and Model of Vehicle:
*
What services are you interested in?
*
NOTE: We have a flat rate diagnostic fee of $169, up to the first hour. If we require additional time to diagnose, we will obtain approval before moving forward.
Preferred Date
/
Month
/
Day
Year
Preferred Time of Day
Morning
Afternoon
Secondary Preferred Date
/
Month
/
Day
Year
Preferred Time of Day
Morning
Afternoon
Did you purchase this vehicle through Todd's Car Team?
Please Select
Yes
No
Have you been to Todd's Car Team for auto repair services before?
Please Select
Yes
No
Would you like to be notified about promotional services?
Yes
No
Submit
Should be Empty: