(425)432-1636
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23701 Maple Valley Hwy
Maple Valley, WA  98038

Service Request Form
First Name:
Last Name:
Address:
City:
State:
Zip Code:
Home Phone:
Mobile Phone:
Email:
Secondary Email:
Vehicle Make:
Vehicle Model:
Vehicle Year:
Vehicle Mileage:
What needs work?
Air Conditioning
Alignment
Battery
Brakes
Cooling System
Exhaust
Oil Change
Manufacturer Services
Starting/Charging
Suspension
Tires
Tune Up
Other:
Please describe in more detail what work needs to be done to your vehicle:
Preferred appointment day?
  Sunday  
  Monday  
  Tuesday  
  Wednesday  
  Thursday  
  Friday  
  Saturday  
Preferred appointment time?
  Morning  
  Afternoon  
  Evening  
  Anytime
Best time to contact you?
  Morning  
  Afternoon  
  Evening  
  Anytime
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©2006 Wilderness Auto Service
23701 Maple Valley Hwy   Maple Valley, WA  98038

Phone:  (425)432-1636
Fax:      (425)432-5475
wildernessautoservice@msn.com

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