Transmission and Auto Repair in Reading, PA

Reading, Pennsylvania

"Why does AAA-Approved
Auto Repair matter?"

Lee Myles Fifth Street

Appointment / Estimate Form

(* required field)

Contact Information

	* First Name		Last Name

	Business Name

	* Primary Phone Number (xxx) xxx - xxxx ( ) -		Secondary Phone Number (xxx) xxx - xxxx ( ) -


	E-mail Address

Appointment Availability

Drop Off	Waiting

Morning	Afternoon	Drop Off Overnight

Specific Time/Date Requested

Vehicle Information

Vehicle Make

Vehicle Model

Vehicle Year

Vehicle Number (applies only to our regular fleet customers)

Vehicle Needs

General Automotive Repairs, Services, and Maintenance

State Inspection	Air Conditioning	Vehicle Overheating
Emission Inspection	Air Cleaner	Engine Tune-Up
Oil & Filter	Brake Problem	Clutch
Oil Leak	Lights - Interior	Wheel Bearings
Rotate Tires	Lights - Exterior	Balance Wheels
Transmission Flush & Fill	Steering & Shocks	Alignment
Flush Radiator	Exhaust System	Wheel Chair Unit

Transmission and Engine Performance Problems

Slips or Hesitates	No Reverse	Engine Runs Rough
Engine Hard to Start	No Power	Jerks on the Shift
No Forward Movement	Problems Shifting	Strange Noises

Other Concerns, Problems, or Requests

Please note that completion of this request form does not constitute an appointment. A customer service expert from the Lee Myles Center you have selected will contact you promptly to confirm the specifics of your upcoming appointment. We look forward to meeting your automotive needs!

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