Appointment Request Form
Use this form to request a service appointment.
Vehicle Information
*Manufacturer:
*Year:
*Model:
Miles:
VIN Number:
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
DeLon Downtown Auto Center
745 Liberty St NE
Salem, OR 97301-2447		 Phone: (503) 370-3060
Toll Free: (800) 624-2997
Fax: (503) 370-8220
Email: Contact Us