In-ShopService Appointment Request

In-Shop

Service Appointment Request

You'll Bring Your Vehicle to Us

Southport Shop Location*

Where do you want to bring your vehicle for service?

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VIN*

Please provide the last 6 of the VIN

Unit #

Mileage*

Customer Name*

Customer Email*

Customer Phone*

Vehicle Type*

Truck

Description of Service Requested*

File Upload

If you have any photos of the vehicle

Drag and drop files here or

Account Information

If you have an account with Southport Truck, please provide your account number.

Repair Estimate & Pre-Authorization

PLEASE READ CAREFULLY, CHECK ONE OF THE STATEMENTS BELOW, AND SIGN:

I UNDERSTAND THAT, UNDER STATE LAW, I AM ENTITLED TO A WRITTEN ESTIMATE IF MY FINAL BILL WILL EXCEED $100.

I REQUEST A WRITTEN ESTIMATE.

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I DO NOT REQUEST A WRITTEN ESTIMATE AS LONG AS THE REPAIR COSTS DO NOT EXCEED $____________________. THE SHOP MAY NOT EXCEED THIS AMOUNT WITHOUT MY WRITTEN OR ORAL APPROVAL.

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Costs Do Not Exceed $

I DO NOT REQUEST A WRITTEN ESTIMATE.

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