Dix Honda

Service

Request Form

We recommend that you add heidi@dixhonda.com to your address book to ensure you receive our response.

Your Appointment is not scheduled until you recieve a confirmation email from us and you reply back to confirm.

Due to high volume between April and September, we are usually booking approx 2 Weeks from the day of your request.

 

Please fill in the form below to schedule an appointment with our service department.

All fields marked with ( * ) are required.

Contact Information

First Name *
Last Name *
E-mail *
Home Phone
Daytime Phone
Address
City
State	AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
Zip *

Vehicle Information

Manufacturer *
Year *
Model *
Miles

Request an Appointment

Service Hours: Monday-Friday 7:30-5:00

1st Appointment Request *	Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 8:00 a.m. 8:30 a.m. 9:00 a.m. 9:30 a.m. 10:00 a.m. 10:30 a.m. 11:00 a.m. 11:30 a.m. 12:00 p.m. 12:30 p.m. 1:00 p.m. 1:30 p.m. 2:00 p.m. 2:30 p.m. 3:00 p.m. 3:30 p.m. 4:00 p.m.
2nd Appointment Request	Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 8:00 a.m. 8:30 a.m. 9:00 a.m. 9:30 a.m. 10:00 a.m. 10:30 a.m. 11:00 a.m. 11:30 a.m. 12:00 p.m. 12:30 p.m. 1:00 p.m. 1:30 p.m. 2:00 p.m. 2:30 p.m. 3:00 p.m. 3:30 p.m. 4:00 p.m.
Will you be waiting? *	Yes No
If not, desired pick-up time:	7:00 a.m. 8:00 a.m. 9:00 a.m. 10:00 a.m. 11:00 a.m. 12:00 p.m. 1:00 p.m. 2:00 p.m. 3:00 p.m. 4:00 p.m. 5:00 p.m. 6:00 p.m. 7:00 p.m. 8:00 p.m.

Vehicle Service Information

Please check service desired. You may select more than one.

Oil Filter
State Inspection
Service Interval	7,500 10,000 15,000 20,000 22,500 25,000 30,000 37,500 40,000 45,000 50,000 52,500 60,000 67,500 70,000 75,000 80,000 82,500 90,000 97,500 100,000 105,000 112,500 120,000 127,500 130,000 135,000 140,000 142,500 150,000 miles
Check engine light is on when… (select most fitting)	Engine Cold Engine Warm Idling At Start-up Cruising Acceleration Deceleration
Drivability problem (select most fitting)	Power Loss Cold Power Loss Warm Hesitation Cold Hesitation Warm Decreased Fuel Economy It misfires It idles rough There is a sulfur smell It won't start Other (please describe below)
Describe other drivability problem not listed above: