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 Service Request

 
*Asterisk indicates Required Field
  • First Name
    *
  • Last Name
  • Email
    *
  • Phone
  • Address
  • City
  • Province
  • Postal Code

Vehicle Being Serviced

  • Make
    *
  • Model
    *
  • Year
    *
  • Vin#
  • Miles

Describe Service Needs

  • What kind of service do you need done?
    *
  • Appointment Date
    *

Prior Service History

  • Have we serviced your vehicle before?
    Yes No
  • Last In
  • Work Done
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Clare's Cycle and Sports Ltd. 799 Hwy. #20W., Fenwick, ON L0S1C0  905-892-2664  Check Out Clares Cycle OnlineStore.