Bethel Automotive Online

Make an Appointment

Thank you for your interest in Bethel Automotive!
To schedule an appointment, please complete the following questions
and click the 'SUBMIT' when finished.

Note: If you need an appointment this week, PLEASE CALL to schedule.

* Indicates a required field

* Name:	* E-mail:
Address:	Apartment / Unit Number:
City:	State:	Zip:
Daytime Phone:	Evening Phone:
Alternate Number: (Cell, pager,etc.)	Fax:

To assist us in the scheduling process, please answer the following questions. Thank You!
General Information:
1.) Have you been a customer of ours before? Yes No
2.) How did you hear about us? Friend Drove by Yellow Pages Internet Newspaper Other - please explain
3.) How would you like to be contacted to confirm your appointment? E-mail Phone Either E-mail or phone
Vehicle Information:
4.) Year, Make & Model: (example – 2003 Dodge Caravan)
5.) Cylinders: (4, 6, 8 cyl)
6.) Displacement: (if known)
7.) Drivetrain: Rear Wheel Drive Front Wheel Drive 4WD
8.) Transmission: Automatic Standard
9.) Air Conditioning: Yes No
10.) Power Steering Yes No
11.) Mileage:
12.) License Plate:
13.) If you are requesting vehicle service, please briefly describe your needs:
14.) If you are requesting vehicle diagnostics, please briefly describe your symptoms:
Appointment Information:
15.) Please provide two choices for your desired appointment day: (we will confirm) Monday Tuesday Wednesday Thursday Friday
16.) Drop off time:
17.) Will you need our free shuttle service? Yes No
General Questions:
18.) Any additional questions or comments:
* Indicates a required field Thank You for Visiting Our Website!

Checks are also accepted

Bethel Automotive 6750 Bethel Road SE Port Orchard, WA 98367 360.876.2266