Service Appointment
Keith Hawthorne Ford Service Hours: Monday - Friday: 7:30 am - 5:30 pm; Saturday: 8:30 am - 2:00 pm; Sunday: Closed
Service Phone: 1-704-825-5186

Complete Our Appointment form
Welcome to the Keith Hawthorne Ford service center. Please complete the information in the form provided below to schedule an appointment. One of our trained representatives will contact you shortly for confirmation.

Contact Information
First Name:
Last Name:
Address:
City:
State Issued:	choose one: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip:
EMail:
(Area Code) Daytime Phone:
(Area Code) Evening Phone:
Vehicle Information
Year:
Make:
Model:
Mileage:
Vehicle Serial Number:
Do you have an extended warranty?	choose one: yes no
Desired Service and Appointment
Preferred Appointment Date
Early Bird Drop Off:	choose one: Yes No
Waiting or Drop-off Service	choose one: Waiting Drop-Off Uncertain
Drop Off Time:
Pick-up Time:
Do You Need:
Lube Oil and Filter Change:	Yes
Inspection and Emission:	Yes
Transmission Service:	Yes
Cooling System Service:	Yes
Scheduled Maintenance:	Yes
4 Wheel Alignment:	Yes
Battery Replacement:	Yes
Fuel Injection Service:	Yes
Rotate & Electronically Balance Tires:	Yes
Brake Service/Inspection:	Yes
Other Services:
Additional comments/info in the area below