Impressive Motor Cars

Your Name:
Subject:
Home Phone:
Cell Phone:
E-mail:
Street Address:
City,State,Zipcode:

Website:

Do you like our website? Yes No Not sure

Are you a new or existing customer? New Customer Existing Customer

Do you plan to drop off or wait for your vehicle while it’s repaired?
Drop-Off
Wait
Not sure

How did you find us? — Please select — GoogleYahooAOLFacebookInstagramFriendFamilyCo-workerBusiness CardTwitterLink from a websiteYoutubeYellow PagesDriving in the neighborhoodWord of mouthOther

Prefered Drop Off Date & Time:

Vehicle Year:

Vehicle Manufacturer:
– None –ACURAAUDIBMWCADILLACCHEVROLETCHRYSLERDODGEFORDGMCHONDAHYUNDAIINFINITIISUZUJAGUARJEEPKIALAND ROVERLEXUSLINCOLNMAZDAMERCEDES-BENZMERCURYMITSUBISHINISSANOLDSMOBILEPLYMOUTHPONTIACPORSCHESAABSATURNSUBARUSUZUKITOYOTAVWVOLVO-OTHER-

Vehicle Model:

Vehicle Color:

What is the Drive Train? — Please select — AWDFWDRWD4×2/2-Wheel Drive4×4/4-Wheel DriveNot Sure

What type of Transmission? — Please select — AutomaticManualCVTNot Sure

Vehicle Mileage:

License Plate:

Vin Number:

What type of Services?
Multiple selections allowed. (Hold ‘Ctrl’ key down and click on services desired)

30/60/90k mileage maintenance services21-point vehicle maintenance inspectionAir conditioning/heating repairBattery and charging system diagnosis and repairBrake systemCheck engine lightCooling system repair and maintenanceCustom exhaustDrive trainElectrical problemsEmission problemsEngine performanceEngine repairExhaust problemsFactory recommended service/maintenanceFuel system repair and maintenanceOil changeSteeringSuspensionTire(s)Other (describe in comments area)

Your comments:

I hereby authorize the work and repair herein set forth to be done by Impressive Motor Cars, together with the furnishing of the necessary parts and other material for such repair, and agree: that Impressive Motor Cars are not responsible for any delays caused by unavailability or delayed availability of parts or material, loss of or damage to the above vehicle, or articles left therein and that Impressive Motor Cars mechanic may operate the above vehicle on streets, highways or elsewhere for the purpose of testing and/or inspecting such vehicle.