Vehicle Maintenance Services
Customer Information
First Name
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Last Name
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Email
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Phone
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Was this vehicle purchased in the last month?
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Yes, I bought it less than 31 days ago
No, I bought this more than a month ago
Type of Service Appointment
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STATE INSPECTION (#1)
FINAL IN-HOUSE INSPECTION (#2)
VEHICLE DIAGNOSTICS (Service Request)
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How did you purchase your vehicle?
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Loan through a Bank
Loan through Nexcar Finance & Leasing (In-House)
Service Information
What service or services need attention? Check all that apply.
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Brake Issue
Tire Issue
Battery Service
A/C or Heating
Windshield / Glass
Warning Light
Electrical System
Other
Description of the Issue:
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Upload a photo of the issue
Optional
Any Additional Comments, Questions Or Special Requests?
Optional
