Fuel Economy Service Clinic Registration Form
Customer Information
First
Last
Address:
City
Zip

Cell Phone:

Home Phone:

Work Phone:

Email:*
   
Current Vehicle Information:
Year
Miles drive per week
Make
Weekly Gas Expense
Model
Current Miles Per Gallon
Style
Current Vehicle Payment
Current Vehicle Payoff
Total you spent in the last 12 months in repairs & maintenance:
New Suzuki you would most be interested in learning about and possibly test driving

XL7
SX4 Sport

Grand Vitara
Forenza

SX4 Crossover
Forenza Wagon
Requested Day and Time for service clinic and inspection
Extended Service hours for clinic: Monday - Friday 8:00am - 8:00pm
Saturday 8:00am - 5:00pm. Please allow an hour clinic and vehicle inspection.
Our service department will call to confirm your appointment.
Day Requested Time Requested
In order to have the right air filter for your vehicle please tell us your engine size: