Service Request

• First Name

  *
• Last Name
• Email

  *
• Phone
•  
• First Name

  By checking the CHECK BOX and clicking "SUBMIT", I am consenting to receive text messages from Killer Creek Harley-Davidson® to the phone number provided. I understand these texts may be automated and that my consent to receive texts is not required to purchase any product or services. Reply "STOP" to end texts or "HELP" for help. Messaging frequency may vary. Msg & Data rates may apply. Terms & Conditions and Privacy Policy.

Vehicle Being Serviced

• Make

  *
• Model

  *
• Year

  *
• Vin#
• Miles

Describe Service Needs

• What kind of service do you need done?

  *
• Appointment Date

  *

Prior Service History

• Have we serviced your vehicle before?

  Yes No
• Last In
• Work Done

• Submit