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<P><font size="6" face="Geneva, Helvetica, Arial, Times, Sans-Serif" color="FFFFFF"><IMG SRC="/pool/images/2000/title_service_appt.gif" ALT="Service Appointment Request" BORDER="0"></font></P>
<P><font class="body">Trust our qualified Service Professionals for all of your vehicle's maintenance and repairs. You can request a service appointment online, using our easy email form. Simply fill in the fields below with the information requested. You will receive a prompt reply to schedule your service appointment.<br></font></P>
<P></P>
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<td align=left valign=top bgcolor="#DCDCDC"><img src="/pool/images/2000/1.gif"></td>
<td height=25 width=100% align=center valign=center nowrap bgcolor="#DCDCDC"><b><font class="headline">Vehicle Information</font></b></td>
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</td>
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<!-- ************************* VEHICLE INFORMATION ********************* -->
<table border=0 cellspacing=5 cellpadding=0>
<tr>
<td align=left valign=center nowrap><font class="required">*</font> <font class="body"><font class="body">Manufacturer: </font></font></td>
<td align=left valign=center><font class="body"><input name="make" value=""></font></td>
</tr>
<tr>
<td align=left valign=center nowrap><font class="required">*</font> <font class="body"><font class="body">Year: </font></font></td>
<td align=left valign=center><font class="body"><input name="year" value="" size=5 maxlength=4></font></td>
</tr>
<tr>
<td align=left valign=center nowrap><font class="required">*</font> <font class="body"><font class="body">Model: </font></font></td>
<td align=left valign=center><font class="body"><input name="model" value=""></font></td>
</tr>
<tr>
<td align=left valign=center nowrap><font class="hidden">*</font> <font class="body"><font class="body">Miles: </font></font></td>
<td align=left valign=center><font class="body"><input name="miles" value=""></font></td>
</tr>
<tr>
<td align=left valign=center nowrap><font class="hidden">*</font> <font class="body"><font class="body">VIN Number: </font></font></td>
<td align=left valign=center><font class="body"><input name="VIN" value=""></font></td>
</tr>
</table>
<!-- *************************** END VEHICLE INFORMATION *************** -->
<table width=100% border=0 cellspacing=5 cellpadding=0>
<tr>
<td align=center valign=center>
<table width=100% height=25 border=0 cellspacing=0 cellpadding=0>
<tr>
<td align=left valign=top bgcolor="#DCDCDC"><img src="/pool/images/2000/2.gif"></td>
<td height=25 width=100% align=center valign=center nowrap bgcolor="#DCDCDC"><b><font class="headline">Service Information</font></b></td>
</tr>
</table>
</td>
</tr>
</table>
<!-- ******************* Begin Service Information ******************* -->
<table border=0 cellspacing=5 cellpadding=0>
<tr>
<td align=left valign=center nowrap><font class="required">*</font> <font class="body"><font class="body">Type of Service Needed:</font></font></td>
</tr>
<tr>
<td align=left valign=center><font class="body"><textarea name="service" cols=65 rows=4 wrap=virtual></textarea></font></td>
</tr>
<tr>
<td align=left valign=center nowrap><font class="hidden">*</font> <font class="body"><font class="body">Preferred Appointment Time:</font></font></td>
</tr>
<tr>
<td align=left valign=center><font class="body"><font size="2" face="Geneva, Helvetica, Arial, Times, Sans-Serif" color="FFFFFF"><select name="preferred_day"><option value=0>Select a day</option>
<option>Friday, March 19, 2010</option>
<option>Saturday, March 20, 2010</option>
<option>Monday, March 22, 2010</option>
<option>Tuesday, March 23, 2010</option>
<option>Wednesday, March 24, 2010</option>
<option>Thursday, March 25, 2010</option>
<option>Friday, March 26, 2010</option>
<option>Saturday, March 27, 2010</option>
<option>Monday, March 29, 2010</option>
<option>Tuesday, March 30, 2010</option>
</select><select name="preferred_time"><option value=0>Select a time</option>
<option>09:00 AM</option>
<option>09:30 AM</option>
<option>10:00 AM</option>
<option>10:30 AM</option>
<option>11:00 AM</option>
<option>11:30 AM</option>
<option>12:00 PM</option>
<option>12:30 PM</option>
<option>01:00 PM</option>
<option>01:30 PM</option>
<option>02:00 PM</option>
<option>02:30 PM</option>
<option>03:00 PM</option>
<option>03:30 PM</option>
<option>04:00 PM</option>
<option>04:30 PM</option>
<option>05:00 PM</option>
<option>05:30 PM</option>
<option>06:00 PM</option>
<option>Evening drop-off</option>
</select></font></font></td>
</tr>
<tr>
<td align=left valign=center nowrap><font class="hidden">*</font> <font class="body"><font class="body">Alternate Appointment Time:</font></font></td>
</tr>
<tr>
<td align=left valign=center><font class="body"><font size="2" face="Geneva, Helvetica, Arial, Times, Sans-Serif" color="FFFFFF"><select name="alternate_day"><option value=0>Select a day</option>
<option>Friday, March 19, 2010</option>
<option>Saturday, March 20, 2010</option>
<option>Monday, March 22, 2010</option>
<option>Tuesday, March 23, 2010</option>
<option>Wednesday, March 24, 2010</option>
<option>Thursday, March 25, 2010</option>
<option>Friday, March 26, 2010</option>
<option>Saturday, March 27, 2010</option>
<option>Monday, March 29, 2010</option>
<option>Tuesday, March 30, 2010</option>
</select><select name="alternate_time"><option value=0>Select a time</option>
<option>09:00 AM</option>
<option>09:30 AM</option>
<option>10:00 AM</option>
<option>10:30 AM</option>
<option>11:00 AM</option>
<option>11:30 AM</option>
<option>12:00 PM</option>
<option>12:30 PM</option>
<option>01:00 PM</option>
<option>01:30 PM</option>
<option>02:00 PM</option>
<option>02:30 PM</option>
<option>03:00 PM</option>
<option>03:30 PM</option>
<option>04:00 PM</option>
<option>04:30 PM</option>
<option>05:00 PM</option>
<option>05:30 PM</option>
<option>06:00 PM</option>
<option>Evening drop-off</option>
</select></font></font></td>
</tr>
</table>
<!-- ******************* End Service Information ******************* -->
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<tr>
<td align=center valign=center>
<table width=100% height=25 border=0 cellspacing=0 cellpadding=0>
<tr>
<td align=left valign=top bgcolor="#DCDCDC"><img src="/pool/images/2000/3.gif"></td>
<td height=25 width=100% align=center valign=center nowrap bgcolor="#DCDCDC"><b><font class="headline">Contact Information</font></b></td>
</tr>
</table>
</td>
</tr>
</table>
<!-- *********************** Begin Contact Information *************** -->
<table border=0 cellspacing=5 cellpadding=0>
<tr>
<td align=left valign=center nowrap><font class="required">*</font> <font class="body"><font class="body">Name: </font></font></td>
<td align=left valign=center><font class="body"><input name="name" value="" size=56></font></td>
</tr>
<tr>
<td align=left valign=center nowrap><font class="required">*</font> <font class="body"><font class="body">Email: </font></font></td>
<td align=left valign=center><font class="body"><input name="email" value="" size=56></font></td>
</tr>
<tr>
<td align=left valign=center nowrap><font class="hidden">*</font> <font class="body"><font class="body">Home Phone: </font></font></td>
<td align=left valign=center>
<table width=100% border=0 cellspacing=0 cellpadding=0>
<tr>
<td align=left valign=center><font class="body"><input name="homephone" value=""></font></td>
<td align=right valign=center nowrap><font class="hidden">*</font> <font class="body"><font class="body">Day Phone: </font></font> <font class="body"><input name="dayphone" value=""></font></td>
</tr>
</table>
</td>
</tr>
<tr>
<td align=left valign=center nowrap><font class="hidden">*</font> <font class="body"><font class="body">Fax: </font></font></td>
<td align=left valign=center>
<table width=100% border=0 cellspacing=0 cellpadding=0>
<tr>
<td align=left valign=center><font class="body"><input name="fax" value=""></font></td>
<td align=right valign=center nowrap><font class="required">*</font> <font class="body"><font class="body">Preferred Contact: </font></font> <font class="body"><font size="2" face="Geneva, Helvetica, Arial, Times, Sans-Serif" color="FFFFFF"><select name="preferred_contact"><option>Phone Morning</option><option>Phone Midday</option><option>Phone Evening</option><option>Email</option><option>Fax</option></select></font></font></td>
</tr>
</table>
</td>
</tr>
<tr>
<td align=left valign=center nowrap><font class="hidden">*</font> <font class="body"><font class="body">Address: </font></font></td>
<td align=left valign=center><font class="body"><input name="address" value="" size=56></font></td>
</tr>
<tr>
<td align=left valign=center nowrap><font class="hidden">*</font> <font class="body"><font class="body">City: </font></font></td>
<td align=left valign=center><font class="body"><input name="city" value="" size=56></font></td>
</tr>
<tr>
<td align=left valign=center nowrap><font class="hidden">*</font> <font class="body"><font class="body">State: </font></font></td>
<td align=left valign=center>
<table width=100% border=0 cellspacing=0 cellpadding=0>
<tr>
<td align=left valign=center><font class="body"><input name="state" value="" size=3 maxlength=2></font></td>
<td align=right valign=center nowrap><font class="hidden">*</font> <font class="body"><font class="body">Zip: </font></font> <font class="body"><input name="zip" value="" size=24></font></td>
</tr>
</table>
</td>
</tr>
</table>
<!-- ****************** END CONTACT INFORMATION ********************** -->
<table width=100% border=0 cellspacing=5 cellpadding=0>
<tr>
<td align=center valign=center>
<table width=100% height=25 border=0 cellspacing=0 cellpadding=0>
<tr>
<td align=left valign=top bgcolor="#DCDCDC"><img src="/pool/images/2000/4.gif"></td>
<td height=25 width=100% align=center valign=center nowrap bgcolor="#DCDCDC"><font class="body"><input type=hidden name=submit value="1"><input type=image src="/pool/images/2000//butt_send_request.gif" border=0></font></td>
</tr>
</table>
</td>
</tr>
<tr>
<td align=left valign=center nowrap><font class="required">*</font><font class="small">These fields are required to better process your request</font></td>
</tr>
</table>
</form>
<!-- service-appt.footer.html -->
<!-- /Content -->
<!-- Footer -->
</td>
</tr>
<tr>
<td width="158" height="" align=center valign=bottom bgcolor="#000000">
<table border=0 cellspacing=0 cellpadding=0>
<tr>
<td align=center valign=center><a href="f_index.epl" target=content_win onmouseover="window.status = ''; return true;"><img vspace=0 hspace=0 border=0 alt="Fischer Honda" src=""></a></td>
</tr>
</table>
</td>
<td width="100%" align="center" valign="bottom">
<table cellspacing="0" border="0" width="100%" cellpadding="0">
<tr>
<td colspan="2" width="65%">
<img src="images/spacer.gif" alt="" width="1" height="30" border="0"><br>
<hr noshade></td>
</tr><tr>
<td>
<p><b>Fischer Honda</b><br>15 East Michigan Ave<br>Ypsilanti, MI 48197</td>
<td width="35%">
<p><table width="100%" cellpadding="0" cellspacing="0" border="0">
<tr>
<td nowrap><p><b>Phone</b></p></td>
<td width="5"> </td>
<td nowrap><p>800-322-1756</p></td>
</tr>
<tr>
<td nowrap><p><b>Fax</b></p></td>
<td width="5"> </td>
<td nowrap><p>734-483-1202</p></td>
</tr>
<tr>
<td nowrap><p><b>Email</b></p></td>
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