Service Form

Service Form – R&B Auto Repair Shop Norristown PA 

Schedule Service Appointment

1. Your Name(required)
2. Phone #(required)
3. Email(valid email required)

Service Location

1. Select your preferred Service Location
2. R&B Auto Repair Shop
   

Appointment Information

1. Preferred Appointment Date (required)
2. Alternate Appointment Date (required)
3. Will you be...
4. Waiting
   Leaving Car
   
5. Do you need alternate transportation?
6. Yes
   No
   

Vehicle Information

1. Year
2. Manufacturer
3. Model
4. Miles
5. Vin
6. Service Required(required)