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Complete and print this form for early morning or late night drop off or submit via email by selecting the Send button below to schedule service.

When using our Early Bird or Night Owl drop off, please be sure to park in the assigned area (not in the driveway) and lock your vehicle. Place your keys in the envelope provided at the shop along with a printed copy of this form. Tear off the customer receipt from the flap of the envelope and place the envelope in the provided mail slot at the service entrance.

We appreciate your patronage of this AAA Approved Auto repair facility.
Remember – Your satisfaction is guaranteed!

Please complete the following information so we can properly serve you:

Call me with an estimate before any work is performed:
Yes
No
Please return
the old parts to me:
Yes
No
Request submitted for
Early Bird/Night Owl Service:
Yes
No
Submitted to request an appointment ONLY:
Yes
No
Desired Drop Off Date:
Desired Pick Up Time:
License Plate:
Mileage:
Make & Model of your vehicle:
Year:
Color:
Address:
City, State and Zip Code:
    
Home Phone:
Business Phone:
Cell Phone:
Best method to reach you:
When would you like to
pick up your vehicle?
Use this check list to note what service you would like completed:

Change Oil and Filter
Lubrication, check all lube levels
Service/Flush Automatic Transmission
Alignment
Check tire pressure (Incl. spare)
Rotate Tires and Balance Wheels

Replace Tires   If All, do you want a new Spare as well? Yes No

Inspect Belts
Electrical (Please describe the concern in the comments section of this form)
Tune Up
Engine Diagnostics
Check Emission system
Inspect Brakes
Check Air Conditioning System
Check Heating System/Output
Check Exhaust System
Check Steering System
Check Anti-Freeze Protection
Flush Cooling System
Replace Wiper Blades
State Inspection Required
Other Services/Problem Description:
*Name:
(Required)
*Email:
(Required)
By printing and providing this form, I hereby authorize the above repair work to be done along with the necessary parts and labor, and agree that you are not responsible for loss or damage to the vehicle or articles left in the vehicle in case of fire, theft or any other cause beyond your control or for any delays caused by unavailability of parts or delays in parts shipments by the supplier or transporter. I hereby grant you and/or your employee’s permission to operate the vehicle herein described on streets, highways, or elsewhere for the purpose of testing and/or inspection. An express mechanic’s lien is hereby acknowledged on the above vehicle to secure the amount of repair thereto. I understand because of the Early Bird/Night Owl Service, I am unable to receive a copy of the service estimate while placing this order.

On-Line Facility Service Evaluation

It is important to let us know how you feel about the service you received.
Would you please take a minute to rate our service?
Please note that your Name and Email are required - please fill both in above. Thank you.
How would you rate this facility over all?
Was the estimate for work to be done adhered to, or if additional work was required, were you consulted?
Yes
No
Was the repair work done to your satisfaction?
Yes
No
Were the personnel knowledgeable, courteous and efficient?
Yes
No
Was the car ready when promised?
Yes
No
Would you return to this facility in the future?
Yes
No

If any of the above are negative, would you like to be contacted by our AAA staff?
Yes
No
What could we do to better serve you?