Jim Keim Ford

Service Appointment

Our Service department is staffed with the most qualified technicians ready to answer your questions and address your service needs. Use our online form to schedule an appointment or contact our service department if you have any additional questions.

* indicates required fields.

Customer Information:
*First Name:
*Last Name:
*Address:
*City:
State:
Zip Code:
*Contact Method: Home Phone   Work Phone
Cell Phone   Fax   Email  
Home Phone:
Work Phone:
Cell Phone:
Fax Number:
Email Address:
Vehicle Information:
*Year:
*Make:
*Model:
Mileage:
License Plate Number:
Do you have an extended warranty?
Service Information:
*Provide Date of Service:
Early Bird Drop Off:
Waiting or Drop-off Service:
Drop Off Time:
Pick-up Time:
Lube Oil and Filter Change:
Yes    No
Inspection and Emission:
Yes    No
Transmission Service:
Yes    No
Cooling System Service:
Yes    No
Scheduled Maintenance:
Yes    No
4 Wheel Alignment:
Yes    No
Battery Replacement:
Yes    No
Fuel Injection Service:
Yes    No
Rotate & Electronically Balance Tires:
Yes    No
Brake Service/Inspection:
Yes    No
Other Services:
Additional Comments:


5575 Keim Circle   Columbus OH 43228 614-888-3333 © 2012 Contact Us Privacy Policy