Service Appointment Form

.....Make a Service

or Repair Appointment

Service and Parts Specials

Service Schedules

HONDA's Winter Check-up

Performance Package

only

$68.⁸⁸

Oil and Filter Change

$ 31.⁸⁸

If you would like to make an appointment for service or repairs you may do so by calling Timmins Honda by phone at 705-264-1235, by E-Mail at "service@timminshonda.com" or by filling out the form below and submitting it.

Our Service Department is open Monday through Friday 8:30am to 5:30pm

This Service / Repair Appointment Form will be sent by your e-mail. If your e-mail settings are not set to "send messages immediately" the request form will be held in your outbox until the next time you send / receive mail. In order to speed the process, please do this at your earliest convenience.

	*( Required )**
Customer Identification
Your Name	*
Telephone (Home)	*
Telephone (Business)	* Ext.
Address	No. & Street City

Vehicle Identification
Vehicle Make	*
Year	*
Kilometers	*
Serial Number

Type of Service Requested
Regular Scheduled Service		Service Schedules
or
Winter / Summer Check-up or Basic Oil and Filter Change	Service and Parts Specials

Repairs Requested
Describe the problem(s) you would like our Technicians to investigate (If there is more than one problem area please number each)

Date & Time Requested
1st Choice	* *
	Morning Appointment Afternoon Appointment Does Not Matter
2nd Choice	* *
	Morning Appointment Afternoon Appointment Does Not Matter

Remarks or Comments

How would you like us to contact you
Telephone
E-mail
Fax	Fax No.

" Our Service Makes The Difference "