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APPOINTMENTS

All repairs are by appointment only. Please fill out this form or call Eric at 800-573-8111 to schedule your service.

First Name
Last Name
Address
City
State
Zip
*Email
Cell Phone
Work Phone


Make of Scooter


Model of Scooter


Scooter Year

Scooter Mileage
*Is this scooter currently titled and registered?
yes no

Problem or Service Needed
(please be very detailed)
Are there any additional parts or accessories
you might be interested in?

What days and times are good for you
 to drop the scooter off?

*Required fields.

If you do not hear from someone in 24 hours, please call Eric at 800-573-8111.

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