Movin' And Lubin' Repair Request Form


Please fill in as much information as possible, and we'll get back to you with a service date.  What type of repair would you like a quote for? 


Reward Member # or Employer Locations (if applicable)
Contact Phone Number
Email Address
Preferred Method of Contact Phone Email

We request customers receiving service are available for phone calls during scheduled times.



Vehicle Information




If Needing Repairs - Engine Size?


VIN Number

How Did You Hear About Us?


You Know What You Need and Want a Quote For It.

Please indicate what type of service you need, and Submit.

Is there any specific service details?  List below.


My Vehicle Needs Diagnosis - On Site Inspection

There is something wrong with your car and you need us to come out and take a look at it.  This may include a check engine light on and/or if your vehicle is just not running the way it should.  Please include as much detail as possible, submit this form, and we'll contact you with further instructions.

Brake Job

Check all that apply:






Soft Brake Peddle


Other Symptom:

Starting Problems 

(Starters / Alternator / Battery / Fuel Pumps / Etc)

  I Know What I Need: 

  My vehicle will not start, not even crank

  It will crank, but will not start

  It tries to start, but won't
  It starts, but it takes a long time

Suspension Problems

(Tie Rod Ends / Ball Joints / Springs / Shocks / Struts)

  I Know What I Need: 

  I Need an On-Site Inspection Performed

Tune Up