Online Request for Service Appointment
Our Service Representative will contact you within two business days of receiving this form to schedule a confirmed service appointment.
CONTACT INFORMATION
MOTORCYCLE INFORMATION
*
Denotes required field
*
Name
*
Brand
Select One
Harley-Davidson
Buell
*
E-Mail
*
Model
*
Work Phone
*
Year
*
Home Phone
VIN
Fax
*
Have you ever brought your motorcycle to Redwood H-D before?
Yes
No
Street Address
Date of Last service
at Redwood H-D?
Month
January
February
March
April
May
June
July
August
September
October
November
December
Year
2003
2002
2001
2000
1999
City
*
Scheduled Maintenance
Need
Don't Need
State
Select One
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
*
Select Mileage
Select Mileage
1st Scheduled
2,500
5,000
7,500
10,000
12,500
15,000
17,500
20,000
22,500
25,000
27,500
30,000
32,500
35,000
37,500
40,000
42,500
45,000
47,500
50,000
over 50,000
Zip Code
*
Describe Service Needed
SCHEDULE AN APPOINTMENT
NOTE: During peak riding season (Memorial Day to Labor Day) please be aware that
there is often a 2-week lead time for service appointments. Schedule early!
*
Preferred Day
Select One
First Available Appointment
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
*
Preferred Time for Your Appointment?
Select One
Early Morning
Late Morning
Noon
Early Afternoon
Late Afternoon
*
Best Time to Phone You?
Select One
Morning
Afternoon
Evening
*
Where Should We Call You?
Home
Work
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