Service Appointment Request


Vehicle Information

* Year: Miles:
* Make: VIN:
* Model:
Service Information
  Type Of Service(s) Needed:
 
Oil & Filter Change Minor Maintenance Intermediate Maintenance
Major Maintenance Front Brake Replacement Timing Belt Replacement
Other (please explain)
Waiting for Service Dropping off Vehicle
  COMMENTS:
 
 
  * Preferred appointment time:
 
  * Alternate Appointment Time:
 

Contact Information

* First Name: * Last Name:
* Email: Home Phone:
* Day Phone: Fax:
Cell Phone: * Preferred Contact:
Address:
City: * ZIP Code:
* These fields are required

*If the preferred dates and/or times listed above do not work with your schedule please let us know in the 'Comments' box above. We will do our best to arrange a better time for you.

Honda of Kirkland
12420 NE 85th Street
Kirkland, WA 98033
Fax: (425) 828-4667
Site Map
Email: Contact Us
Sales: 800.731.0142
Parts & Service: 888.269.2298