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Schedule Your Service Appointment:

Please take a moment to thoroughly fill out the information below so we can expedite your visit, making it short and easy with the service and care you have come to expect from Midstate Dodge Hyundai. Before final arrangements, we will contact you to confirm the appointment and cost of repairs. Thank you.

Information marked with an * is required.

Vehicle Information

Year*
 		 Make*
Model*
 Mileage*
Vehicle Identification Number
  
Wait Drop off  

Contact Information

Name*
Address*
City*
 State*
Zip Code*
 
E-mail Address
  
Daytime Phone*
 Evening Phone*
Preferred Contact Method
  
Method of Payment*

 Best Time to Contact

Service Information

Please choose the type of service from the following menu. If you would like to select multiple options hold your control key and click on each option you would like.

Desired date/time to schedule appointment

Other service needs or problems

 

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