Service Appointment Request


Vehicle Information

* Year: Miles:
* Make: VIN:
* Model:
Service Information
  Type Of Service(s) Needed:
 
Maintenance I Maintenance II
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:
 
  * Alternate Appointment Time:
 

Contact Information

* First Name: * Last Name:
* Email: Home Phone:
Day Phone: Fax:
Cell Phone: * Preferred Contact:
* Address:
* City: * State: * ZIP Code:
* These fields are required

After submitting this form an Alaska Sales and Service - Valley Representative
will contact you for appointment confirmation.
Alaska Sales & Service - Valley
6275 E Blue Lupine Dr
Palmer, AK 99645
Mailing Address: POBOX 202001
Anchorage, AK 99520
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Phone: (877) 335-2922
Email: Contact Us
Fax: (907) 761-4482