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Church of God Car Care Application
SATURDAY - May 11th, 2024
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Email
*
Your email
Applicant Name
*
Your answer
Phone Number
*
Your answer
Services Requested
Oil Change
Check Tire Inflation
Car Wash (If Possible)
Owner of Vehicle (If different from above)
Your answer
Vehicle Year, Make, and Model
*
Your answer
Current Mileage (kms)
Your answer
Oil Type Required (e.g. 5W20)
Your answer
Volume in Litres
Your answer
Vehicle currently has
Regular
Synthetic
Don't know
Clear selection
V.I.N number (found on front of dashboard or driver's side door)
Your answer
Are there any other concerns you have about your vehicle?
Your answer
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