Service Appointment Request

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

Countryside GM Auto Group
N8167 Kellom Road
BEAVER DAM, WI 53916
Phone: (920) 319-4652
Email: Contact Us
Fax: (920) 885-2257
Service: 920-885-1299
Parts: 920-885-2767
Body Shop: 920-885-6182
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Internet Department
Kyle Buss Pre-Owned Internet Manager: 1-877-589-5950
Jeff Schumann New Vehicle Internet Manager: 1-608-279-4799
Countryside Ford Mercury
1149 W. James St.
Columbus, WI 53925
920-623-5960
website: www.countrysidefm.com