Make an
Appointment

Updated: September 11, 2007

Instructions
1	Fill out an appointment request form below	2	Hit the submit button	3	Receive a response within 24 hours

* Indicates Required Fields

Privacy Policy
We will not share your information with anyone other than employees of Mike's Auto Service. Your personal information will only be used to address your request.

Contact Information
* First Name:				*Last Name:

*Phone Number:				*Best Time to Call (Daytime Preferred):
( )
Email Address:

I prefer to receive my responses via email.

About Your Car
*Auto Make:

*Auto Model and engine size:

*Auto Year:

*Does your vehicle have air conditioning?
Yes No
*How many miles does your vehicle have on it?


Auto Repair Services Details
*What type of service is needed?
Air Conditioning Repair				Ignition
Alignment				Maintenance Tune-up
Axle Repair				Muffler/Exhaust System Repair
Battery Replacement				Oil Change
Brake Repair				Radiator Repair
Coolant Servicing				Shock/Strut Repair
Electrical system Repair				Tire & Wheel Repair
Engine Repair				Tire Rotation
Fuel Injection Cleaning				Transmission & Clutch Repair
Other:
When would you like this service performed?


Additional Details
Please include any additional information that will help our Auto Repair Specialists better fulfill your request.


Ask Questions
Do you have any other questions that our Auto Repair Specialists can answer when they respond to your request?
Question #1:
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Question #3: