Service Appointment Request
Use this form to request your next service appointment. One of service advisors will contact you to confirm your appointment. Also be sure to take advantage of our online service specials.

Our service department hours of operation are:
Monday - Friday: 7:00 a.m. - 6:00 p.m.
Saturday: 8:00 a.m. - 5:00 p.m.


Vehicle Information

* Year: Miles:
* Make: VIN:
* Model:
Service Information
  Type Of Service(s) Needed:
 
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

Benchmark Chrysler Jeep Dodge
1313 Grants Mill Way
Birmingham, AL 35210
Site Map
Toll Free: (800) 811-2415
Email: Contact Us
Fax: (205) 957-1316