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Service Appointment Request Form

Our Service department is staffed with the most qualified technicians ready to answer your questions and address your service needs. Use our online form to schedule an appointment or contact our service department if you have any additional questions.

* These fields are required.

Vehicle Information

*	Year	:
*	Make	:
*	Model	:
*	Vin#	:
	Mileage	:

Contact Information

Graff Chevrolet Ottawa

1420 N. Perry St.

OH, Ottawa 45875

Telephone	:	419-615-4180
Fax	:

Service Information

Regular Scheduled Maintenance:
Oil Change Coolant Flush Transmission Flush Engine Tune-Up Tire Rotation Balance Tires	Front-End Alignment Adjust Brakes Replace Muffler Air Conditioner Repair Wash, Wax & Interior Clean
Other Service

Preferred Appointment Date

:

Preferred Appointment Time

:

Do You Require

:

Shuttle Service
Rental Car
Wait In Lounge

Contact Information

*	First Name	:
*	Last Name	:
*	Business Phone	:
	Home Phone	:
*	Email Address	:
	Fax	:
	Preferred Contact	:
	Address	:
	City	:
	State	:
	Zip Code	:
	Comments	: