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The Bleecker service department is ready to help you!

Problem with your car? Time for your next scheduled maintenance? Schedule an appointment with our service department by completing the form below. We will confirm your appointment with you by Phone and/or E-mail within 12 hours of receiving your request.

fields are required.

Contact Information

First Name
Last Name
Address
City
State	choose one: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip
E-mail
Daytime Phone	--
Evening Phone	--

Vehicle Information

Make	choose one: GM CHRYSLER DODGE JEEP
Model
Mileage
Vehicle Serial Number
Do you have an extended warranty?	choose one: yes no

Preferred Appointment Date

Early Bird Drop Off	choose one: Yes No
Waiting or Drop-off Service	choose one: Waiting Drop-Off Uncertain
Drop Off Time
Pick-up Time
Lube Oil and Filter Change
Inspection and Emission
Transmission Service
Cooling System Service
Scheduled Maintenance
4 Wheel Alignment
Battery Replacement
Fuel Injection Service
Rotate & Electronically Balance Tires
Brake Service/Inspection
Other Services
Additional comments/info in the area below

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