make an appointment online As we strive to offer you the quality service that Safety Check Automotive is known for, we ask that you take a few minutes to complete this form to service your vehicle quickly & accurately. Thank you for your assistance.

Shop Hours: Monday - Friday 8:00 - 5:00
Schedule Information
 
Appointment Date: Appointment Time: Day of Week:
 
Personal Information
 
Name:
Address:
City: Zip:  
 
Home Phone: Work Phone:  
 
e-mail: Fax:  
 
 
Vehicle Information
 
Year: Make: Model:
License: Mileage: Color:
 
Service(s) Requested
 
Lube, Oil, & Filter Check Heater Check Air Conditioner
Check Brakes Check Exhaust System Check Engine Oil Leak
Rotate Tires Engine Tune Up Check Shocks & Steering
Safety Inspection Check Cooling System Service Transmission
Smog Inspection Front End Alignment Brake & Lamp Inspection
Diagnose No Start Check Clutch Check Electrical System
 
Other Concerns and/or Services Needed:
 


(*Note: No appointment is set until we have contacted you back to confirm)

  All Contents © Copyright 2001-2004. Safety Check Automotive.     Website Powered by JNS Web Design