Service Department 860-3199

Service Appointment Form
 
Please fill in the form below and click the "Submit" button.
We will confirm your service appointment request via e-mail within 48 business hours.
Please note that we allocate specific time slots for our web customer's service appointment requests. Should you arrive 20 or more minutes late for your appointment, your slot may be given to another customer.
Should the requested time and date be unavailable, we will suggest an alternative time and date for you.
 

*First Name:

*Last Name:

Address:

 Home Telephone

 

* Business Telephone

 

 Cell Telephone

Fax #:

*Email:

Identify your vehicle in the Text boxes below

*Make:

*Model:

 

*Year:

Licence Plate:

 

Check applicable maintenance & list service concerns as required:

   GM Annual Service

   GM Semi Annual Service

   Lube, Oil & Filter

   Inspect Brakes, Service Rear

   Tire Rotation

   Brake Fluid Flush

   Fuel Filter Replacement

   Fuel Induction Service

  Transmission Flush

   Wheel Alignment

  Coolant Flush

   Rear Differential Fluid Flush(rear wheel drive or trucks)

  Power Steering Flush

  Service Special

   Transfer case & Front Differential Fluid Flush( 4x4 and AWD vehicles only)

Please describe additional service concerns you require in the text box below.

Have a Service Consultant Phone Me: 

 

 

 

 

Arrival Details:

Preferred date & time for your arrival: *

 

Date: mm/dd/

 

 

Time: hh/mm

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Preferred second arrival choice: *

 

Date: mm/dd/

 

 

Time: hh/mm

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Confirm arrival date by:

 

 

  Email

  Phone

  Bus Phone

 

 

 

  Cell Phone

  Fax

 

 

 

 

 

 

 

 

 

 

 

 

Alternate Transportation requirements:

Shuttle Service

  Yes                

 No

 

 

 

If No, please enter reason:

(Shuttle service is available through out the Kelowna area but does not cross the floating bridge)

 

 

 

 

 

 

 

 

 

Payment Options:

Visa

MasterCard

Cash

 

Other

 

 

 

 

 

 

 

 

 

 

 

 

 

 

       

* Denotes required entry

Jacobsen Excellence
Licence #: 9748
2727 Hwy. 97 North, Kelowna, BC V1X 4J8
Reception Call (250) 860-7700, Service Department (250) 860-3199
Toll Free 1-800-585-0712,    Fax (250) 860-4947  EMAIL  
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