Blacks Auto Service Center
137 East Pulteney St.
Corning, NY 14830
607-962-6150
FAX 607-962-4319
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APPOINTMENT REQUEST

* Indicates a Required Field

Personal Information
Name*:
Phone*:
Cell Phone:
E-Mail*:

Vehicle Information
Year:
Make:
Model:
Engine Type:
License Plate Number:

Has this vehicle been in our shop before?
	Yes No

Appointment Information
Type of Appointment:
	Drop Off Waiting

Preferred Appointment: (Please give a 24 hour minimum notice)
	Date: Time:
Option 1*:
Option 2:
Option 3:
Please Note: These dates and times are not scheduling an actual appointment. Someone will contact you with a confirmed date and time.

Towing To Shop Needed?
	Yes No
Rental Vehicle Needed?
	Yes No

Services Requested/Comments
Comments:

Customer Survey

Appointment Request


SUN MON TUES WED THUR FRI SAT	Closed 8:00AM - 5:00PM 8:00AM - 5:00PM 8:00AM - 5:00PM 8:00AM - 5:00PM 8:00AM - 5:00PM Closed
Quick Lube Open M-F 8:00 a.m.-6:00 p.m. Sat 8:00 a.m.-1:00 p.m. Convenience Store Open M-Sat 6:00 a.m.-10:00 p.m. Sun 7:00 a.m.-8:00 p.m.

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