Service Appointment Request

Vehicle Information

* Year: Miles:
* Make: VIN:
* Model:
Service Information
  Type Of Service(s) Needed:
 
Maintenance I Maintenance II
Oil change Brake inspection Cooling system
Fuel filter Air filter Shocks
Spark plugs Timing belt Tire rotation
Transmission Wheel alignment Air conditioner
  Other/Additional Information:
 
 
  * Preferred appointment time:
 
  * Alternate Appointment Time:
 

Contact Information

* First Name: * Last Name:
* Email: Home Phone:
Day Phone: Fax:
Cell Phone: * Preferred Contact:
* Address:
* City: * State: * ZIP Code:
* These fields are required

Serving Du Quoin and Benton – Chip Banks Chevrolet Buick – Home Page
Chip Banks Chevrolet Buick
1116 South Washington
PO Box 188
Du Quoin, IL 62832
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Phone: (618) 790-7235
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Fax: (618) 542-3631