service appointment1

Contact Information:

* First Name:

* Last Name:

* Email:

 Home Phone:

* Day Phone:

 Fax:

 Cell Phone:

* Preferred Contact:

 Address:

 City:

State: 

* Zip Code:

 







Vehicle Information:

* Year:

Miles:

* Make:

 VIN:

* Model:

 

 






Service Information:
Type of Service(s) needed:

 Maintenance I

 Maintenance II

 

 Oil change

 Brake Inspection

 Cooling system

 Air filter

 Wheel Alignment

 Shocks     

 Fuel filter

 Tire Rotation   

 Timing belt   

 Spark plugs

 Air conditioning 

 

 Service Transmission

 Heater       

 

 

 

 

* Preferred Appointment Time:

 

 

 

 

 

 

 

* Alternate Appointment Time:

 

 

 

 

Other/Additional Information:

Be sure to fill in all the * areas
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Dick Krieg Motors
U.S. 421 West
Delphi, IN 46923

Phone (765) 564-2113
Email: Contact Us
Fax (765) 564
Service Dept. (765) 564-2113 Ext. 2