Request Service Appointment
Problem with your car? Time for your next scheduled maintenance?
Request an appointment time with our service department by completing the form below. Our friendly Service Department will confirm your appointment with you as soon as possible.
Thank you for choosing Apple Ford of Lynchburg for your vehicle needs!
  ** Please allow 24 hrs. advance notice for appointment time requests**

To better serve our customers, our Service Department offers:

** Early Bird/ Late Night drop off box **
** Shuttle Rides (15 mile distance from Dealership) **
** Extended Service Hours on Tues. & Thurs.- open until 7 p.m. **

This form is only to REQUEST a Service Appointment.
Once submitted someone from Apple Ford will contact you to confirm your requested appointment. 


Service Hours:

Monday, Wednesday, Friday: 8:00 am - 5:00 pm
Tuesday, Thursday: 8:00 am - 7:00 pm
Saturday & Sunday: Closed
   fields are required.

Contact Information

Contact Information

First Name:  
Last Name:  
Address:  
City:  
State Issued:  
Zip:  
EMail:  
(Area Code) Daytime Phone:  
(Area Code) Evening Phone:  

Vehicle Information

Vehicle Information

Year:  
Make:  
Model:  
Mileage:  
Vehicle Serial Number:  
Do you have an extended warranty?  

Desired Service and Appointment

Desired Service and Appointment

Preferred Appointment Date  
Early Bird Drop Off:  
Waiting or Drop-off Service  
Drop Off Time:  
Pick-up Time  

Lube Oil and Filter Change  
Yes  
 
No  
 

Inspection and Emission  
Yes  
 
No  
 

Rotate & Electronically Balance Tires  
Yes  
 
No  
 

Scheduled Maintenance  
Yes  
 
No  
 

Other Services:

Additional comments/info in the area below



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