Hino of Wichita LLC - Service Request

I Need Service!

Your Name Phone (Day)
E-mail Addr!  (Include area code)
Company Evening Phone:
Address Fax Number:
City State ZIP  (If Available)


What Vehicle Are We Servicing

Year Unit #
Make Mileage
Model Transmission Make
VIN # Transmission Serial #
Engine Mfr Transmission Speeds
Engine Serial # Sleeper
Horsepower Suspension


When Will You Be Stopping In?

Day Date
Month Desired Time (CST)


Notes: (Please describe the type of service you need any other information that would help us.)

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