Golf Cart Service Request Form
Please read and complete all required sections below.
Full Name:
*
First Name
Last Name
Phone Number:
*
-
Area Code
Phone Number
Email
example@example.com
Company/Organization Name (if applicable)
Full Home/Company or Organization Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Preferred Contact Method:
*
Call
Text
Email
Make of Cart. Please select one below.
*
ActivEV
Club Car
EPIC
Evolution
EZGO
ICON
StarEV
Yamaha
Fuel Type. Please select one below.
*
Electric
Gas
Have we worked on your cart within the past 30 days?
*
Yes
No
Please describe the issues below.
*
Please Select an Appointment Date and Time for Drop Off ONLY. We kindly ask for your patience and understanding, as we may not be able to attend to the cart immediately upon drop-off. Please note that it could take a few days before we are able to address it.
*
Additional Details:
As mentioned above, we kindly ask for your patience and understanding, as we may not be able to attend to the cart immediately upon drop-off. Please sign if you have read and agree that it may take a few days before we are able to address it.
*
Submit Request
Submit Request
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