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Name
*
First
Last
Phone
*
Email
*
Message
Address
Please Select Location
*
Mishawaka
South Bend
Elkhart
Schererville
Sale ID
*
Date of Service
*
Month
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Year
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1920
What package did you purchase?
Silver
Gold
Platinum
What kind of vehicle was serviced
*
Sedan
Truck
SUV
Van
How would you rate the following?
Overall Quality Rating
Excellent
Good
Average
Poor
Level of Expertise
Excellent
Good
Average
Poor
Friendliness
Excellent
Good
Average
Poor
Service Speed
Excellent
Good
Average
Poor
Value of Service
Excellent
Good
Average
Poor
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