Simply fill in the blanks to schedule an appointment.
Are you a new customer?    Yes    No
First Name (required)
Last Name (required)
Address(1)
Address(2)
City
State
Zip
At least one of the following is needed to schedule an appointment:
* E-Mail
* Home Phone
* Work Phone
* Cell Phone
Which number should we try first? Home  Work   Cell
I prefer to be contacted via: E-mail   Phone  
Automobile Information:  
Year:
Make:
Model:
Color:
License Number: 
Mileage: 
Service Needed: 
Pre-Purchase Inspection Inspection for Repair
Diagnostic Tune-Up Oil, Lube, Filter Change
Oil Leaks Adjust Brakes
Brake Repair Maintenance Tune-Up
Cooling System Flush Exhaust System Repair
Charging System Inspection Fan Belts
Transmission Service Replace Clutch
Repair Lights Alignment
OR
Manufacturers Recommended Maintenance: miles
Other services (describe):
OR
Describe the problem as best as you can:
Authorization:
Please call me with an estimate before performing the repair: I authorize work up to the amount of $
Schedule: 
At what time can you drop off your vehicle?
At what time do you need your vehilcle back?
If necessary, is it possible to leave your vehicle overnight? Yes   No
Shuttle Service: 
Do you need a ride to home or work after dropping off your vehicle? Yes   No
Do you need the use of a rental vehicle? Yes   No
Does your car need to be towed? Yes   No

Thank you for using our online appointment scheduler. Our staff will contact you by telephone to confirm your appointment. We will do our best to try to schedule your vehicle at a time that works best for you.

Privacy Statement

The above information we are requesting is your contact information.  By submitting this form you are requesting that a member of Auto Authority contact you to set up an appointment.  This information is to help us to start to understand the nature of the appointment you would like to discuss with us.  We do not sell this information to any third party.  If you do not wish to receive a contact from Auto Authority, do not submit the form.  If at any time you wish to discontinue receiving contact from Auto Authority, send an email to tony@autoauthorityinc.com with the word REMOVE in the subject line and we will remove that email from further correspondence.