Chrysler 5 Star Award
Service Request Appointment
Open Monday - Friday....7:30am - 4:30pm
Saturday....8:00am - 12:00pm
860-354-3131  |  1-800-351-5524

We Accept Visa, Mastercard, American Express, Discover
and All Approved Checks

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Vehicle Information
* Year: Miles:
* Make: VIN:
* Model:    
 
Service Information
* Type of service(s) needed:
Oil Change Brake inspection Cooling system
Fuel filter Air filter Shocks
Spark plugs Timing belt Tire rotation
Transmission Wheel alignment Air conditioner
Other/additional information:
Preferred appointment time:
Month: Day: Time:
Alternate appointment time:
Month: Day: Time:
 
Contact Information
* First Name: * Last Name:
* E-Mail: * Home Phone:
* Day Phone: Fax:
Cell Phone: Preferred Contact:
* Address:
* City: * State:
* Zip Code:    
 
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NEW MILFORD 860-354-5524 / 1-800-351-5524 / FAX-860-355-2842
KENT Sales: (860) 927-3132 ~ Service: (860) 927-3132 ~ Parts: (860) 927-3132