Vehicle Service Appointment Request

Please fill out the following form to request a follow up phone call for a service appointment. Appointments will only be set for covered items as per the Service Agreement.

Due to high volume of work we encourage customers to drop vehicle off the morning of your appointment.

Upon submitting the form a customer service representive will be in contact within one bussiness day to confirm your appointment.

*First Name

*Last Name

*Email Address

Phone Number

*Year

*Make

*Model

*Mileage (Submitting current mileage will insure accurate scheduling.)

Describe the vehicle's problem.

*A panda is black and _____. (To verify you are a human please select the answer: White)
White

Purple

Green

The Limited Service Agreement coverage is voided if a pace in excess of 18,000 miles per year or 1,500 miles per month is exceeded at any time. Your account must be current at the time of any and all claims.

Only the parts listed below are covered. Any part not listed below is not covered.

ENGINE: Any internally lubricated part of the engine.

TRANSMISSION: Any internally lubricated part of the transmission.

SEALS AND GASKETS: Seals and gaskets for all parts listed above only as required to complete the required repair. There is no coverage if the primary cause of breakdown is a seal or gasket failure.

COOLING SYSTEM: Water pump & radiator.

STARTING & CHARGING SYSTEM: Alternator & starter motor.

FUEL SYSTEM: Fuel pump.

AIR CONDITIONING: condenser, compressor, compressor clutch and pulley,evaporator, receiver dryer, orifice tube, and blower motor. This applies only if the air conditioner is factory or dealer installed equipment.

DEDUCTIBLES A $100 deductible applies for each claim made during the 1st year, $200 during the 2nd year, and $300 during the 3rd year under this Limited Service Agreement. The deductible applies per occurrence. The deductible is due prior to any repairs made by Holmes Motors, Inc. The Limited Service Agreement coverage is voided if a pace in excess of 18,000 miles per year is exceeded at any time. Your account must be current at the time of any and all claims.