Vehicle Drop Off Form

After Hours Vehicle Drop Off Form

New for July 2011!

Great Lakes Automotive Clinic now offers a nightly vehicle drop off program that is simple and convenient for our customers that find in difficult to visit us during our normal business hours. Just fill out the form below and submit it. Please park your car in front of one of our bays, place your keys and contact information below in our night drop box and we will contact you the next business morning with an estimate and in most cases, be ready for you the next evening for pick up!  

When you have completed the form right click your mouse and print the form. Drop the completed form with your keys in our drop box. When you hit submit, we will also have a copy in case you forget to bring the form with you!

First Name: *
Last Name: *
Address Street 1: *
Address Street 2:
City: *
Zip Code: (5 digits)
License Plate Number: *
Daytime Phone: *
Evening Phone:
Email: *
Vehicle Year: *
Vehicle Make
Vehicle Model: *
Vehicle Color:
SERVICES REQUESTED

Oil, Lube & Filter

Tire Quote Tires Balanced Tire Rotation Wheel Alignment

Brake ServiceEngine Tune UpCooling System/Air Conditioning ServiceSafety Check

ESTIMATE TYPE Written EstimateOral EstimateNo Estimate

OLD PARTS RETURNED?  Yes
No

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