Appointment Request Form

Use this form to request a service appointment.

Vehicle Information

Service Information

*Type of Service Needed:

Preferred Appointment Time:

Alternate Appointment Time:

Contact Information

*Name:

*Email:

*Home Phone:

Day Phone:

Fax:

*Preferred Contact:

*Address:

City:

State:

Zip:

*These fields are required

Car City, Inc
2802 Lorch Ave
Eau Claire, WI 54701

Phone: (715) 830-1111
Toll Free: (888) 723-9141
Fax: (715) 852-2323
Email: Contact Us