Service Appointment Request

You can rely on our qualified Service Professionals for all of your vehicle's maintenance and repairs. We just added one more reason to have your car serviced by Re-Born Automotive,  Portland. You can request a service appointment online using our easy E-mail form. Simply fill in the fields below with the information requested. You will receive a prompt reply to schedule your service appointment.
Note: Please use your tab key or mouse to move around the
page. Click the "Submit Form" button when you are finished entering all the information.

What you should expect from our service:

  1. ASE Certified Technicians.
  2. On request, courtesy Shuttle rides to home or work.
  3. 18 month/unlimited mileage warranty on all repairs*.
  4. Same day service in most cases.
  5. We accept Visa, MasterCard, Discover and personal checks.

Are you a new customer? yes no

If so, how did you hear about us?
Name:
Address: Street:
City: State: Zip:
Home Phone:
Work Phone:
Other Phone:
E-mail:
Fax:
I prefer to be contacted via: Phone E-mail Other
Vehicle
Information:
Year: Make:
Model: Color:
License Number:
Service Needed:
Tune-up
Vehicle Inspection
Oil Change, Lube Service
Timing Belt Replacement
Replace Fan Belts
Transmission Service
Fuel Injector Service
Coolant Change
Brake Fluid Flush		 Pre-Purchase Inspection
Brake Repair
Clutch Repair
Exhaust System Repair
Charging System Inspection
Check Battery
Front End Alignment
Check Coolant Leaks
Check Oil Leaks
Manufacturers Recommended Maintenance:
Other Service Needs:


Please describe any other concerns you my have:
Schedule: 
 When would you like to drop off your car for service:
Month Day Year Drop off Time
  When would you like to pick up your car:
Month Day Year Pick up time
Please check all that apply: I will need to wait for my vehicle.
I will need a courtesy ride.
I will need my vehicle towed.
Comments: Please feel free to leave any additional comments:
*Commercial and off road vehicles are excluded.