Service Appointment Request                                (888) 458-3521
We use 128 bit encryption of your information on forms for your security. We do not share your information with 3rd parties except in our normal process of obtaining credit or giving you service. See here for our privacy policy.

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

Erickson Pontiac GMC
890 W Main Street
Rexburg, ID 83440
Site Map | Privacy Policy | Terms of Use
Phone: (866) 824-2954
Email: Contact Us
Fax: (208) 356-4461