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CHECK OUT our Enhanced Loyalty Program
Service Request Form
Vehicle Being Serviced
*  Manufacturer:  
*  Model:  
*  Year:  
V.I.N. Number:  
Miles/Hours:  
Contact Information
*  Name:  
*  Email:  
*  Day Phone:   --
Extension:
Alternate Phone:   --
Fax:   --
Address:  
Address:  
City:  
State/Province:  
Zip/Postal Code:  
*  Contact:  
Describe Service Needs
*  What kind of service do you need done?
*  When would you like your appointment?
Prior Service History
*  Have we serviced your vehicle before?
Yes No
Last In:  
Work Done:  
*  These fields are required

Enhanced Loyalty
$1 spent = 1 loyalty point
*Excludes Motorcycle Purchases

POINTS RANK
13,000 Flathead
6,500 Knucklehead
2,750 Panhead
1,500 Shovelhead
750 Evo
500 Twin Cam

Reap Your Rewards

POINTS REWARD
13,000 $695 Gift Card
6,500 $325 Gift Card
2,750 $120 Gift Card
1,500 $55 Gift Card
750 $25 Gift Card
500 $12 Gift Card


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