Service Appointment Form Service Appointment Name* First Last Email* PhoneDate* Date Format: MM slash DD slash YYYY Time* : HH MM Time of Day AM PM Customer Vehicle InformationCustomer Vehicle Year*Customer Vehicle Make*Customer Vehicle Model*Customer Vehicle VINCustomer Vehicle TransmissionCustomer Vehicle CylindersCustomer Vehicle Drive TrainCustomer Vehicle TrimCustomer Vehicle Odometer*Customer Vehicle Black Book IDRequired Service / Issue* I agree to receive periodical offers, newsletter, safety and recall updates from Western Truck Centre. Consent can be withdrawn at any time.