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Automotive Maintenance Work Request

* required fields
*Name: *Date of Request:
*Phone Number: *Best Time to Call:
*Home Address (City, State, Zip): *Email Address:
*Type of repair(s) needed:
Additional Comments:
*Make and Model of Vehicle: *Vehicle Year of Manufacture:
Note: The Automotive Maintenance Technician program instructors are not available for automotive servicing consulting. Please call your local service station for advice. I understand that this work request will be considered when the above-described work is being taught in the curriculum. There is not an immediate need for completion of this servicing project.