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General Maintenance or Repairs 

Date to drop off vehicle:

 ex: mo/day/yr, time
Your Name:
Your Phone Number: Daytime
Your Email Address:
Mileage:
Make:
Model:
Year:
Engine:
Oil & Filter 
Air / Fuel Filters
Transmission Service
Differential Service
Oil Leaks / Burning
Engine Tune-up
Belts / Hoses
Exhaust System
Emission System
Clutch
Alignment 2 Wheel or4 Wheel
Cooling System (anti-freeze)     		 Brake System
Wheel Bearings
Balance Wheels
Rotate Tires
Replace Tires
Steering & Shocks
Lights
Radiator / Water Pump
Air Conditioning
Heater System
Battery / Charging System
Windshield Wipers
     

Other, Please explain below:


Does vehicle have aftermarket stereo equipment?
Subwoofer Speakers
Capacitor (s)
Auxiliary Battery (s)
High Output Alternator (s)
Amplifier (s)

 

   

Cool Links

CruisinTimes.org
 

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© 2010 Updated Automotive Repair, Inc.
12146 York Road · North Royalton, Ohio 44133 
 440.582.1992-Phone · 440.582.1997-Fax 
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Monday - Friday 7:30am to 5:30pm / Saturdays 8:00am to 12:00 noon