Faith Church
Car Care Clinic Appointment Request

Requested Time: Unless you hear otherwise, this is your appointment time.

Your Name:   Your E-mail:

Your Phone Number: Alternate Phone Number:

Please Check One: I will wait for my car. There is a waiting area, so I'll bring something to read or do. Allow up to 1-1/2 hours.

I will drop off my car and return later. All cars must be picked up by 1:00.

Vehicle Information: We must have this information to properly service your car. If you don't know your engine size, call Dave at 610-393-9432.

Make (e.g., Ford):   Year:

Model and Body Style (e.g., Escort 2-door hatchback):

Engine Size (e.g., 1.9 liter, 4 cylinder) (put "Don't know" if not sure):

Approximate Date of Last Oil Change (put "Don't know" if not sure):

Approximate Mileage of Last Oil Change (put "Don't know" if not sure):

List Any Known or Suspected Problems:

    

 Return to Church Home Page