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CUSTOMER SERVICE

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Coastland Auto Service
5939 Shirley Street
Naples, FL 34109

Mechanical Department
Phone: 239-597-5000
Fax: 239-597-8813

Towing Department
Phone: 239-597-5299
Fax: 239-597-8276

Collision Department
Phone: 239-597-4907
Fax: 239-597-2863

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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:


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