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Please complete the form below and press the "Submit" button. When we receive your request, we will check our service schedule then contact you to set up the appointment.
Truck Model # (ex. RD688S):
Serial # (Last 6 digits):
VIN Number (Include 17 characters):
Your Information: All information is confidential. Information in RED is required
Name:
E-mail:
Company Name:
Street Address:
City:
State: Zip:
Country:
Phone:
Fax:
Give a description of the problem(s) in the spaces below
Example: Headlights do not work when switched onto high beam.
1
2
3
4
5
When would be a convenient date to have your vehicle serviced? (Please enter dates in the format: xx/xx/xxxx)
Earliest Date:
Latest Date:
What time of day do you prefer?
A.M.
P.M.
Do you have an account with us?
Yes
No
How would you like to pay for the repair or service? (Select One)
Cash
Charge to my account
MasterCard
Visa
American Express
MackCharge
This is a warranty repair
Transfer charges to the following Mack Dealer:
Will you need assistance in obtaining a rental?
Comments or specific questions:
Please click the "Submit" button only once and wait for a reply
ã 1999 - 2008 TransEdge Truck Centers - Allentown, PA Pittsburgh, PA Schuylkill Haven, PACONTACT US
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