Tim's Repair
Vehicle Service Request
Name:
*
First Name
Last Name
Phone Number:
*
-
Area Code *Always Required*
Phone Number *Always Required*
Email
*
example@example.com. *Always Required*
Vehicle Make
*
*Always Required*
Vehicle Model
*
*Always Required*
Vin Number
*
*If Vehicle Has Been In Before for Service, Put N/A. Otherwise, Required.*
Vehicle Mileage
*
*Always Required*
Service Type
*
Please Select
Regular Maint (Oil, Spark Plugs, Tuneup, etc.)
Electrical Issues (Battery, Alternator, etc.)
Misc Concern (Interior Trim, Plastics etc.)
Drivability Concern (Noises, Safety Issues)
General Inspection (Used Car, etc.)
Other (Explain Below)
Additional Details:
*
Submit Request
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