Henn Automotive Customer Form


 

Thank you for your interest in Henn Automotive. 

While we embrace technology, we don't always trust it.  Please contact us by phone for more detailed information in a timely manner.   Thank you. 

For faster service, or if using our key drop after hours system, please use the form below to help us get some information about you and your vehicle.
 

Your  information will be kept confidential, and will not be shared with any third-party.
..........................................................................................................................................................................

  First and Last Name Home Phone Number
(###-###-####)

Work Phone Number*
(###-###-####)

Cell  Phone Number
(###-###-####)

  

 


       

Address

City

State

Zip





  Vehicle Information:      

Year

Make

Model

Engine Size





       

Approx. Vehicle Mileage

 Service Requested: Please check as many as apply
 		  


Oil change
State inspection		 New Tires
 Wheel Alignment		 Tire Size (if known)
(ex: 245-75-15
  Rotate & balance tires Tune Up  
  Front Brakes
 Rear Brakes
 		 Belts
 Air Conditioning		  
 
  List below anything you need checked that is not on the above check list:
 (ex; check engine light, noise in the front end) :


 
   
 


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