Body Shop Appointment
Monday - Friday 7:30 am - 5:30 pm
Please take the time to fill out the form to set up a body shop appointment.
*
Name:
*
Address:
*
City:
*
State:
*
Zip:
E-Mail:
*
Home Phone:
*
Work Phone:
Automobile Information
*
VIN Number:
*
Make:
*
Year:
*
Model:
Miles:(Approx.)
Service Information
*
Type of service needed:
Appointment Information
Do you need Shuttle/Rental Services?
No
Yes
*
Appointment Day:
Select a Day
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
*
Date:
*
Alternate Day:
Select a Day
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
*
Date:
*
Appointment Time:
*
Alternate Time:
*
Confirmation Time:
Choose a Time
Morning
Lunch
Afternoon
Night
*
Contact Number:
Choose a Number
Home
Work
I am a new customer to Hastings Ford.
I am a current customer.
I agree to the information stated above.