Maul Automotive, Inc. Drop Off Form

Maul Automotive Inc
5041 Rent Worth Court, Lincoln, NE 68516
(402) 421-7121

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AFTER HOURS DROP OFF FORM

Name
Street Address
City State Zip
Home Phone Work Phone
Cell Phone Pager
What is the best way to contact you tomorrow?
VEHICLE YEAR MAKE
MODEL
COLOR LICENSE PLATE NUMBER

MAINTENANCE SERVICES REQUESTED (Please check all that apply)

Tire Rotation
Lube, Oil & Filter Change
Spin Balance Tires

Brake Fluid Flush
Coolant Flush
Power Steering Flush
Auto Trans Fluid Flush

Air Conditioner Test
Tire Repair
Wheel Alignment

Other (explain)

PROBLEM AREAS TO CHECK (please describe the problem or call us in the morning to explain in detail)

Date

Please place this completed form and your key in an envelope and place in our DROP BOX located on the gate in front of our shop.

Thank you!
Maul Automotive Staff

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