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Take Along Form

Hill's Garage Information Sheet

1. Name:
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2. Address:
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3. At what number can you be reached:
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4. Vehicle: (Year, Make, Model)
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5. Vehicle Symptoms/Description:
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6. When did you first notice a problem?
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7. Has the vehicle previously been worked on for this problem? ___ Yes ___ No
If yes, what work was done? 
 

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8. Please explain when you notice the problem occurring:
 

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9. Have you noticed any unusual sounds, odors, drips, leaks, smoke, warning lights or abnormal
gauge readings?

 
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10. Are you having any problems such as handling the car, braking, steering or unusual vibrations?

 
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11. How often have you noticed the problem occurring?

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12.  Please provide any other additional comments that may be helpful:

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Business Hours:
Monday - Friday 7:30 am - 5:30 pm
Closed Saturday & Sunday
Appointments are not necessary but are recommended