Request either a Body Shop Collision Repair appointment or an Automotive Repair/Maintenance appointment by completing the following form. Also, please provide us with a contact telephone number for the day of your appointment. We will call you at this number with an estimate of repairs before work can be started. Thank you. Body Shop Manager: Scott McCoppin *First & Last Name: *Address: *City: *State: *Zip Code: - *Telephone #: - - Email Address: *Collision Appointment and/or... *Automotive Appointment    Insurance Company:  AAA Allied Allstate American Family Farm Bureau Farmer's Group Geico Shelter State Farm Other *Please give all pertinent information (date and time of appointment) in the text area below. For Collision repair, please state what type of vehicle you have, the area of collision on the vehicle, and a claim number (if available) below: For Automotive repairs, please state type of vehicle and type of service: I need a loaner car: (check the box if YES)    What type of transmission          do you prefer?                  Manual Automatic  www.smimportauto.com & S&M Import Auto are in no way affiliated with Honda® or Acura®. All rights reserved.