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"Auto Repair By People Who Care"

Foreign & Domestic Cars and Trucks

822 North Main     Morton IL 61550      309-263-7932


Please fill out this form as completely as possible to better serve you.  Items in red are required for processing.  We will contact you immediately to schedule your service requirements.


First Name:
Last Name:
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Address:
Address (cont):
City:
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Zip:
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Fax Number:
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Make of Vehicle (Ford, Nissan, etc.): 

Year Of Vehicle    

Vehicle Model (F150, Bonneville, etc.) 

Please give us a description of the problem you are having with the vehicle, or what routine maintenance you require.  Please be as specific as possible.

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I understand that you will meet this time as closely as possible.

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