Please fill out the form below to request an appointment online.
Note:
If you require an appointment within 48 hours or have an emergency please
call
(651) 636-0641
. This form is to be used only for requesting appointments for auto and/or transmission services. An appointment is not required for services at our
Express Lube
location.
Your Contact Information
(Required Fields)
First Name
Last Name
Daytime Phone
Evening Phone
Address
City
State
Zip
Email
Your Vehicle Information
Year
Make
Model
Engine Size
Appointment Information
Hours of Operation: 7:30 AM – 5:30 PM / Monday – Friday
Date Preference
MM/DD/YY
Appointment Time
Preference
Morning
Afternoon
Evening
Morning Drop Off
Night Drop Off
What is Early Bird / Nite-Owl Service?
Service Information
Service Requested
Engine Oil & Filter Service
Factory Recommended Service/Maintenance
Cooling System Flush
Brake Fluid Flush
Automatic Transmission/Transaxle Flush
Power Steering Fluid Flush
Brake System
Differential Service
Battery/Charging System
Tire Rotation
Comprehensive Vehicle Inspection
Belt Replacement
Hose Replacement
Heating/Air Conditioning
Check Engine Light Diagnosis
ABS Light Diagnosis
Emission Failure Diagnosis
Driveability Diagnosis
Electrical System Diagnosis
Noise/Vibrating Diagnosis
Transmission Diagnosis
Fluid Leak Testing
Exhaust System
Steering/Suspension
Timing Belt Replacement
No-Start Diagnosis
Clutch
Tire(s)
Other
Description/
Other Comments
All information included in this form is completely confidential and will not be shared.
Email address used for Village Auto Works Promotional Specials only.
Privacy Policy
Read
VILLAGE’S PRIVACY POLICY
All information included in this form is completely confidential and will not be shared.
If you experience problems with this form, please email us at
manager@villageautoworks.com
