Jenkins & Wynne      •      931-647-3353     •     328 College Street Clarksville, TN 37040
Jenkins & Wynne

  Service Request Form

Problem with your car? Time for your next scheduled maintenance? Schedule an appointment with our service department by completing the form below. We will confirm your appointment with you by Phone and/or E-mail within 12 hours of receiving your request.

Due to the level of business we are currently at, your specific service appointment time is NOT guaranteed until you hear from our Service Representative. If you need immediate assistance, please call 931.647.3353 and ask for the Service Dept. We will do our best to honor your request.

 

* indicates required fields.
Customer Information:
*First Name:
*Last Name:
*Address:
*City:
State:
*Zip Code:
*Contact Method: Home Phone   Work Phone
Cell Phone   Fax   Email  
*Home Phone:
Work Phone:
*Cell Phone:
Fax Number:
*Email Address:
Vehicle Information:
*Year:
*Make:
*Model:
Mileage:
Service Information:
*Service Department:
*Provide Date of Service:
Early Bird Drop Off:
Waiting or Drop-off Service:
Drop Off Time:
Pick-up Time:
Lube Oil and Filter Change:
Yes    No
Inspection and Emission:
Yes    No
Transmission Service:
Yes    No
Cooling System Service:
Yes    No
Scheduled Maintenance:
Yes    No
4 Wheel Alignment:
Yes    No
Battery Replacement:
Yes    No
Fuel Injection Service:
Yes    No
Rotate Tires:
Yes    No
Electronically Balance Tires:
Yes    No
Brake Service/Inspection:
Yes    No
Other Services:
Additional Comments: