Service Appointment Request

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Need to service your HUMMER? Fill out this form to help us make the process run as smoothly as possible. 
Our Certified HUMMER technicians will expertly service and maintain your HUMMER to keep it in tip-top shape.

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

Bergstrom HUMMER of Madison

1200 Applegate Road, Madison, WI, 53713

Customer Service: Contact Us

General: (877) 219-3032

Fax: (608) 271-2266

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