Service Request Form
Vehicle Information
*
Manufacturer:
*
Year:
*
Model:
Miles:
VIN Number:
Service Information
*
Type of Service Needed:
Preferred Appointment Time:
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Sat 11/22/08
Mon 11/24/08
Tue 11/25/08
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Thu 11/27/08
Fri 11/28/08
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Sat 12/06/08
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Evening drop-off
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Sat 11/22/08
Mon 11/24/08
Tue 11/25/08
Wed 11/26/08
Thu 11/27/08
Fri 11/28/08
Sat 11/29/08
Mon 12/01/08
Tue 12/02/08
Wed 12/03/08
Thu 12/04/08
Fri 12/05/08
Sat 12/06/08
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07:00 AM
08:00 AM
09:00 AM
10:00 AM
11:00 AM
12:00 PM
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02:00 PM
03:00 PM
04:00 PM
05:00 PM
06:00 PM
Evening drop-off
Contact Information
*
Name:
*
Email:
Home Phone:
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Preferred Contact:
Phone Morning
Phone Midday
Phone Evening
Email
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*
Address:
City:
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Zip:
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Varsity Ford Lincoln Mercury Inc.
1351 Earl Rudder Freeway College Station, Texas 77845
Main Phone 979-694-2022 Internet Sales 979-693-3639 Highway 21 Location: 979-778-3408 Email:
Paul Shaffer
Sales 9:00am-8:00pm M-F 9:00am-6:00pm SAT
Service 7:00am-6:00pm M-F 7:30am-3:30pm SAT
Parts 7:30am-5:30pm M-F 7:30am-3:30pm SAT
Friday November 21 2008