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If yo
u’
re interested in having a vehicle inspected, please fill out the following information and we'll get right back to you.
Customer Intake Form
Name
*
First
Last
Phone Number
*
-
-
Email
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Vehicle Year
*
Vehicle Make
*
Vehicle Model
*
Is the vehicle:
*
Stock
Modified
Inspection to be performed:
*
At Webfoot Facility in Portland
Within a 30-mile radius of the Webfoot Facility
Between 30 and 150 miles from Portland
Beyond a 150 mile radius of Portland
Address of other facility (if applicable):
*
Line 1
Line 2
City
State
Zip Code
Country
If using another facility, will a hoist available?
*
Yes
No
What do you want to do with the vehicle?
*
Driver
Show
Project
If “Driver,” are you interested in
*
Totally stock with OEM original parts
Modifications/non-OEM/aftermarket parts are acceptable
If “Project,” what is your end goal? Do you intend to do work yourself or have someone else do it?
*
What is your level of mechanical expertise?
*
Neophyte/Novice
I know a screwdriver from an end wrench
Competent mechanic
Submit
