Service Appointment Request

Vehicle Information

* Year: * Miles:
* Make: * VIN:
* Model:
Service Information
  Type Of Service(s) Needed:
 
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

Jack Demmer Automotive Group
21531 Michigan Ave
37300 Michigan Ave, Wayne
Dearborn, MI 48124
Phone: 313-274-8800
Email: Contact Us
Fax: 313-274-8811
Site Map
Jack Demmer Ford
37300 Michigan Ave
Wayne, MI 48184
Phone: 734-721-2600
Email: info@aplanheadquarters.com
Fax: 734-721-1831