Service Appointment Request


To schedule you next service appointment, simply fill-out the attached form and send it to the Riata Ford Service department.  We'll schedule your appointment as close to the time and date requested as possible.  Your appointment will be confirmed by e-mail or fax usually within 2 hours (during normal business hours), or by 10 AM the next business day (for reservations made after 7 PM).
 
 

Tell Us about You...

Name

 

Street Address

 

Street Address

 

City

 

State

 

Zip

 

E-Mail Address

 

Daytime Phone

       Ext.

 

        Area Code          Phone Number      

Evening Phone

           

 

        Area Code          Phone Number

Cell Phone

           

 

        Area Code          Phone Number

Pager Number

           

 

        Area Code          Phone Number

Fax Number

           

 

        Area Code          Phone Number

Date & Time of Appt.

     AM PM

 

     MM/DD/YY                   Preferred Appointment Time

 

Tell Us About Your Vehicle ...

Year

 

Make

 

Model

 

Vehicle ID#

 

License#

 

Engine Size

 

   
 

Tell us which service(s) you'd like us to perform ...

Scheduled Maintenance

Minor Service

 

Major Service

Regular Maintenance

(Hold ``Ctrl" key to select multiple items.)

 

Tune Up

 

Brake Repair

 

Alignment

 

 

                 

   
Please contact our Webmaster with questions or comments.
Copyright 2001, Riata Ford , Inc.  All rights reserved