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 09/04/10
Mon 09/06/10
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Evening drop-off
Alternate Appointment Time:
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Sat 09/04/10
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Tue 09/14/10
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Sat 09/18/10
Select a time
07:00 AM
08:00 AM
09:00 AM
10:00 AM
11:00 AM
12:00 PM
01:00 PM
02:00 PM
03:00 PM
04:00 PM
05:00 PM
06:00 PM
Evening drop-off
Contact Information
*
Name:
*
Email:
Home Phone:
Day Phone:
Cell:
Preferred Contact:
Phone Morning
Phone Midday
Phone Evening
Email
Cell
*
Address:
City:
State:
Zip:
*
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Stanley-Lynd Autoplex
308 North Fannin @ Hwy 36 • Cameron, Texas 76520
Sales: 877-719-2779 • Parts & Service 877-649-4774 • Toll Free 877-719-2779 • Email:
Internet Sales
Sales 8am-7pm M-F • Sat 9:00am-5pm
Service 7:30am-5:30pm M-F • 8AM TO 12 NOON SAT
Parts 7:30am-5:30pm M-F • 8AM TO 12 NOON SAT
Late service pickup with prior arrangement
Night (afterhours) service drop-off available for next day service.
Friday September 03 2010
