Vehicle information

Year of vehicle    Make (example Ford)    Model

Date of purchase    Vehicle Identification #   

Customer information

First name Middle initial Last Name

Address line 1

Address line 2

City State Zip code

Home phone with area code  Work phone with area code

Mobile phone with area code      Email   (xyz@something.com)

First service appointment

Your first service appointment is probably your most important service.

Let's go ahead and schedule your first service appointment.

  Please choose month Jan Feb Mar Apr May June July Aug Sept Oct Nov Dec                   Please choose day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31                   Please choose time 7 AM 8 AM 9 AM 10 AM 11 AM 12 Noon 1 PM 2 PM 3 PM 4 PM

Simply tell us the month, day and time you would like to bring your vehicle in for it's first service appointment. We suggest either three months from your initial purchase date or no later than 3,000 miles whichever occurs first. Our friendly staff will call to remind you a couple of days before your appointment.

Service department hours

Monday thru Friday - 7:00 AM to 6:00 PM

Saturday - 7:00 AM to 5:00 PM

Sunday - closed

How satisfied are you with your overall purchase experience at Burd Ford?

  Choose one please Very dissatisfied Somewhat dissatisfied Fairly well satisfied Very satisfied Completely satisfied

Based on your experience at Burd Ford would you recommend Burd Ford as a place to   buy a vehicle?

  Choose one please Definitely would not Maybe or maybe not Probably would Definitely would

How satisfied are you with your sales person at Burd Ford?

  Choose one please Very dissatisfied Somewhat dissatisfied Fairly well satisfied Very satisfied Completely satisfied

Please tell us how you heard about Burd Ford?                              

  Please choose one Television commercial Radio News paper BurdFord.com Another web site A friend sent me I am a previous customer

Please feel free to add any comments on how we could have served you better