Please specify your vehicle and the service you wish performed.

Vehicle Information

 *Year:
 *Make:
 *Model:
 Kms:
 VIN Number:

Service Information

 *Type of Service Needed:  
Preferred Appointment Time:
 * Preferred Service Date:   
Day:    Time: 
Alternate Appointment Time:
 *Alternate Service Date:   
 Day:     Time:  
Contact Information
 *Name:
 *Email:
 *Home Phone:
 *Day Phone:
 Fax
 Preferred Contact:
 *Address
Please type the following code
in the space available below to
validate your form.

Reload Image
Code:


 
Phillips Suzuki
253 Sherwood Rd
P.O. Box 2243
Charlottetown, PEI C1A 8B9