Contact Information
Motorcycle
Service Information
* Name:
* Brand:
Select
One
Harley-Davidson®
Buell
* Email:
* Model:
___* Year:_
* Work
Phone:
* VIN
Number:
* Home
Phone:
* Bartels
has
or has not
serviced this motorcycle before.
Fax:
Last
Service at Bartels:
Select
One
Within
a month
Within
3 months
Within
6 months
Within
a year
Over
a year
Not
serviced at Bartels'
Street
Address:
* Scheduled
Maintenance:
need
___don't need
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
Click
here t o see what
scheduled maintenance includes.
Apt:
City:
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
* Describe
Service Needed:
Zip:
Schedule
An Appointment
Schedule Shuttle
Service or Motorcycle Pick-up
Preferred
Day:
Select
One
Next
Available Day
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Motorcycle
PickupService:
I will
__or will not
need Bartels' Motorcycle Pickup Service
This service
is available wihin 30 miles of Bartels' for an additional charge.
Preferred
Time:
Select
One
early
morning
late
morning
noon
early
afternoon
late
afternoon
* Best
Time to Phone You to Confirm Appointment:
Select
One
morning
afternoon
evening
* Call
you at:
home
work
*
Required Information