Boulevard Auto Repair
  Fill out this form to make an appointment. If you need service today or tomorrow, please call (818) 989-6028 to schedule.
Air Conditioning Appointment:
* Denotes Required field
Name * Phone *
Email Please call me at:*
Vehicle Info:  
 
Year* Model* Mileage
 
Please explain the problem you are having:
 
To expedite the drop off of your vehicle, please fill out this brief questionnaire and help to diagnose your vehicles problem. Please check all that apply to your vehicle:

A/C Symptoms
 
Does your A/C system cool OK?:
Yes No  
 
Does the fan/blower work?:
Yes No  
At all Speeds? Yes No
 
Is the fan/blower noisy?:
Yes No
 
Do the dash controls work OK?:
Yes No  
 
Do the vent, heater and defroster work OK?:
Yes No  
 
Is the A/C noisy when turned on?:
Yes No  
 
Does the car stall or idle funny when A/C is on?:
Yes No  
 
Does your car overheat?:
Yes No  
 
Has the A/C filter/dryer ever been replaced?:
Yes No  
 
When was the A/C system serviced last?:
Yes No  
 
Does the A/C or heater smell?:
Yes No  
 
Other Problems:
 
 


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