Customer Intake Form

This Schedule An Appointment Online Form is for your convenience. Simply fill in as much of the information as you feel is necessary and we will get back with you quickly for available times.

If you prefer, you can call the shop during office hours at: (870) 779-0080

Contact Information

Provide Your Name Please*

Street Address*

Apartment #

City*

State/Region*

Postal Code

Mobile Phone Number

Work Phone Number

Email*

Preferred Contact Method: Mobile Text Work

How did you hear about Pressurized Performance? (Internet, Google, A Friend, Billboard, Our Shop Sign, etc.)

If you typed "A Friend" above, please tell us their name below.

Vehicle Information

APPOINTMENT REQUESTS DO NOT GUARANTEE AVAILABILITY - PLEASE REQUEST APPOINTMENTS 48 HOURS IN ADVANCE. *All information included in this form will be kept confidential and will not be shared.

Make & Model of Vehicle*

Service Requested*

Any other service work or maintenance needed?

Please share any details about the service work requested that you feel is relevant.

1. Personal Items. Please remove personal items from your vehicle. If full it slows down the process and could result in additional charges. Type initials below if you agree with the above statement about personal items.*

2. Wheel Locks. We ask that wheel lock keys be placed in a cup holder near the driver's seat. We will place the lock in the glovebox when we are done. Type your initials below if you agree with our statement about wheel locks.*

I consent to receive text messages regarding your services, via automated technology. I acknowledge that I do not have to provide this consent to receive your services. Message and data rates may apply. Respond “STOP” to any message to cancel.

Any vehicle left seven (7) days after completion or diagnosis will be subject to storage charges and will be subject to sale after thirty (30) days.

NO REPAIRS ARE DONE WITHOUT YOUR AUTHORIZATION

Customer Signature*

Weekdays:		8:00 AM - 5:00 PM
Weekends:		CLOSED

Pressurized Performance and Off-Road

SHOP HOURS