Service Request

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Service Request

Company

This field is for validation purposes and should be left unchanged.

Name

Email(Required)

Phone(Required)

Address(Required)

Address Line 2

City(Required)

State(Required)

Zip Code(Required)

Vehicle Information

Make(Required)

Model(Required)

Year(Required)

Serial/VIN #

Describe Service Needs

Service Needed(Required)

Service Request Date(Required)

Schedule a pickup or dropping off?(Required)

Drop-off

Pickup/Delivery

We charge a pickup/delivery fee starting @ $125.

You agree to the $89.95 Diagnostic fee on all service work?(Required)

Yes

We charge a $89.95 Diag fee on all service work. If you do not agree, we will be unable to accept your request.

Damage during transportation(Required)

Yes

NTX Carts is not responsible for damage to items during transportation. This includes windshields, enclosures, tops/canopies, and any other bolt on accessory.

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Service Request

Vehicle Information

Describe Service Needs

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