Service Appointment Request
 
Today's high technology cars require a large amount of attention and we have the state-of-the-art facilities to accommodate complications that may arise.  Our fully trained technicians are here to relieve you from the headaches that may come from car problems as well as regularly scheduled maintenance.  To request a service appointment please fill out all applicable information below.  If you feel more comfortable speaking to our team over the phone give us a call at (877) 459-1446 or contact us via e-mail.
Be prepared to tell us your preferred date and time. Your vehicle information and service needed along with your contact information. We will confirm your appointment within one business day via your chosen preferred contact method.


* Send Form to

Vehicle Information

* Year: Miles:
* Make: VIN:
* Model:
Service Information
  Type Of Service(s) Needed:
 
Maintenance I Maintenance II
Oil change Brake inspection Cooling system
Fuel filter Air filter Shocks
Spark plugs Timing belt Tire rotation
Transmission Wheel alignment Air conditioner
  Other/Additional Information:
 
 
  * Preferred appointment time:
 
  * Alternate Appointment Time:
 

Contact Information

* First Name: * Last Name:
* Email: Home Phone:
Day Phone: Fax:
Cell Phone: * Preferred Contact:
* Address:
* City: * State: * ZIP Code:
* These fields are required

Burtness Chevrolet Inc | In Orfordville, a greater Janesville, New Glarus, Brodhead and Rockford Chevy dealer | Home
Burtness Chevrolet
303 E Beloit St
Orfordville, WI 53576
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Phone: (877) 459-1446
Email: Contact Us
Matt Nenneman: Service Manager
Phone: 877-539-4621