Green Street Automotive Repair

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Maintenance Ticket

The more you fill out here, the less time spent in the shop talking about trivial info! We want to spend quality time talking about your car's needs, not your contact information...

Please complete the fields below and we will have your repair ticket ready on arrival.

First Name:
Last Name:
Address Street 1:
Address Street 2:
City:
Zip Code: (5 digits)
State:
Daytime Phone:
Evening Phone:
Email:
Vehicle Year Make/Model:
Vehicle issue here:



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