ÿþ<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN" "http://www.w3.org/TR/html4/loose.dtd"> <html> <head> <title>Borton Volvo Service Department | 612.827.3666</title> <meta http-equiv="Content-Type" content="application/xhtml+xml; charset=utf-8"> <meta name="description" content=""> <meta name="keywords" content=""> <meta name="robots" content="index, follow"> <script type="text/javascript" src="../inc/jquery-1.4.2.min.js"></script> <script type="text/javascript" charset="utf-8"> var $j = jQuery.noConflict(); </script> <link rel="stylesheet" type="text/css" href="../inc/reset.css"> <link rel="stylesheet" type="text/css" href="../inc/layout.css"> <link rel="stylesheet" type="text/css" href="../inc/style.css"> <link rel="stylesheet" type="text/css" href="../inc/centered-dropdown-menus.css"> <link rel="stylesheet" type="text/css" href="../inc/slides.css"> <script type="text/javascript"> var _gaq = _gaq || []; _gaq.push(['_setAccount', 'UA-24584097-1']); _gaq.push(['_trackPageview']); (function() { var ga = document.createElement('script'); ga.type = 'text/javascript'; ga.async = true; ga.src = ('https:' == document.location.protocol ? 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<ul> <li><a href="../index.html">Home</a> </li> <li><a href="../new_cars/index.html" class="active">New Car Sales</a> <ul> <li><a href="../new_cars/index.html">New Car Specials</a></li> <li><a href="../new_cars/new_car_sales.html">New Car Sales</a></li> <li><a href="../new_cars/new_car_showroom.html">Volvo Showroom</a></li> <li><a href="../new_cars/new_car_build-price.html">Build and Price</a></li> <li><a href="../new_cars/new_car_warranty.html">Warranty</a></li> <li><a href="../new_cars/new_car_staff.html">New Cars Sales Staff</a></li> </ul> </li> <li><a href="../overseas_delivery/index.html">Overseas Delivery</a> <ul> <li><a href="../overseas_delivery/specials.html">Current Specials</a></li> <li><a href="../overseas_delivery/testimonials.html">Testimonials</a></li> <li><a href="../overseas_delivery/checklist.html">Overseas Delivery Checklist</a></li> <li><a href="../overseas_delivery/additional.html">Overseas Delivery Resources and Downloads</a></li> </ul> </li> <li><a 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align="center" class="white_b"><a href="index.html" target="_parent" class="white_b"><b>Borton Service Specials</b></a>&nbsp;&nbsp; | &nbsp;&nbsp; <a href="staff.html" target="_parent">Staff</a> &nbsp;&nbsp; | &nbsp;&nbsp; <a href="service_form.html" target="_parent">Online Service Appointment Form</a></p></td> </tr> </table></td> </tr> </table> <!-- START WRAPPER --> <div id="wrapper"> <!-- START CONTENT --> <table width="900" border="0" align="center" cellpadding="0" cellspacing="0"> <tr> <td align="center" valign="top"> <form action="/service/SRECEIPT.CFM" method="post"> <div align="center"> <input type="hidden" name="NAME_required" value="Please include Customer Name." /> <input type="hidden" name="Daytime_Phone_required" value="Please include a Daytime Phone." /> <input type="hidden" name="Evening_Phone_required" value="Please include an Evening Phone." /> <input type="hidden" name="MODEL_required" value="Please include a MODEL." /> <input type="hidden" name="DAY_required" value="Please include a DAY." /> <input type="hidden" name="DATE_required" value="Please include a DATE." /> <input type="hidden" name="HOUR_required" value="Please include an HOUR." /> <input type="hidden" name="YEAR_required" value="Please include the YEAR." /> <input type="hidden" name="MILEAGE_required" value="Please include MILEAGE." /> <input type="hidden" name="LOCATION_required" value="Please include your Location." /> <input type="hidden" name="EMAIL_required" value="Please include your Email." /> <input type="hidden" name="MailTo" value="BVSERVICE@borton.com" /> <input type="hidden" name="Subject" value="Borton Volvo Service Appointment Form" /> <table width="100%" border="0" cellspacing="0" cellpadding="10"> <tr background="../images/borton_back.png"> <td colspan="4" bgcolor="#666666" class="white_b2"><p>On-Line Service Appointment Form</p></td> </tr> <tr> <td colspan="4"><p>Please fill out completely to schedule a Service Appointment.</p></td> </tr> <tr> <td colspan="2" bgcolor="#666666" class="white_b"><p>Contact Information</p></td> <td colspan="2" bgcolor="#666666" class="white_b"><p>Vehicle Information</p></td> </tr> <tr> <td colspan="2" bgcolor="#CCCCCC"><p>Are you a New or Current customer?</p></td> <td colspan="2" bgcolor="#FFFFCC"><p>What Model Volvo Needs Service?</p></td> </tr> <tr> <td bgcolor="#FFFFFF"><p><input type="checkbox" name="vcBrochure2" value="Yes"> New&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <input type="checkbox" name="vcBrochure1" value="Yes"> Current</p></td> <td bgcolor="#FFFFFF"></td> <td bgcolor="#FFFFFF"><p>Model: <select name="MODEL"> <option>XC90 </option> <option>XC70 </option> <option>XC60 </option> <option>S80 </option> <option>S60 </option> <option>S40 </option> <option>V40 </option> <option>V50 </option> <option>C70 </option> <option>C30 </option> <option>S70 </option> <option>V70 </option> <option>850 </option> <option>S90-V90 </option> <option>940-960 </option> <option>780 </option> <option>740-760 </option> <option>240-260 </option> <option>VINTAGE </option> <option selected="selected">MODEL </option> </select></p></td> <td bgcolor="#FFFFFF"><p>Year: <select name="YEAR"> <option>VINTAGE </option> <option>1994 </option> <option>1995 </option> <option>1996 </option> <option>1997 </option> <option>1998 </option> <option>1999 </option> <option>2000 </option> <option>2001 </option> <option>2002 </option> <option>2003 </option> <option>2004 </option> <option>2005 </option> <option>2006 </option> <option>2007 </option> <option>2008 </option> <option>2009 </option> <option>2010 </option> <option>2011 </option> <option>2013 </option> <option selected="selected">2012 </option> </select></p></td> </tr> <tr> <td colspan="2" bgcolor="#CCCCCC"><p>Which Service Location do you prefer?</p></td> <td colspan="2" bgcolor="#FFFFCC"><p>Approximate Mileage</p></td> </tr> <tr> <td colspan="2" bgcolor="#FFFFFF"><p><select name="LOCATION"> <option>GOLDEN VALLEY </option> <option>MINNEAPOLIS </option> <option selected="selected">LOCATION </option> </select></p></td> <td colspan="2" bgcolor="#FFFFFF"><p><input type="text" name="MILEAGE" size="10" /> Miles</p></td> </tr> <tr> <td colspan="2" bgcolor="#CCCCCC"><p>Customer Name</p></td> <td colspan="2" bgcolor="#FFFFCC"><p>Please choose a preferred day*:</p></td> </tr> <tr> <td colspan="2" bgcolor="#FFFFFF"><p><input type="text" size="50" name="NAME" /></p></td> <td colspan="2" bgcolor="#FFFFFF"><p><select name="DAY"> <option>Friday </option> <option>Thursday </option> <option>Wednesday </option> <option>Tuesday </option> <option>Monday </option> <option selected="selected">Choose Day </option> </select></p></td> </tr> <tr> <td colspan="2" bgcolor="#CCCCCC"><p>Email</p></td> <td colspan="2" bgcolor="#FFFFCC"><p>Please choose a preferred Month and Date*:</p></td> </tr> <tr> <td colspan="2" bgcolor="#FFFFFF"><p><input type="text" size="50" name="EMAIL" /></p></td> <td colspan="2" bgcolor="#FFFFFF"><p><select name="MONTH"> <option>January</option> <option>February</option> <option>March</option> <option>April</option> <option>May</option> <option>June</option> <option>July</option> <option>August</option> <option>September</option> <option>October</option> <option>November</option> <option>December</option> <option selected="selected">Choose Month</option> </select> <select name="DATE"> <option>1 </option> <option>2 </option> <option>3 </option> <option>4 </option> <option>5 </option> <option>6 </option> <option>7 </option> <option>8 </option> <option>9 </option> <option>10 </option> <option>11 </option> <option>12 </option> <option>13 </option> <option>14 </option> <option>15 </option> <option>16 </option> <option>17 </option> <option>18 </option> <option>19 </option> <option>20 </option> <option>21 </option> <option>22 </option> <option>23 </option> <option>24 </option> <option>25 </option> <option>26 </option> <option>27 </option> <option>28 </option> <option>29 </option> <option>30 </option> <option>31 </option> <option selected="selected">Choose Date </option> </select></p></td> </tr> <tr> <td bgcolor="#CCCCCC"><p>Daytime Telephone Number</p></td> <td bgcolor="#CCCCCC"><p>Evening Telephone Number</p></td> <td colspan="2" bgcolor="#FFFFCC"><p>Hour*:</p></td> </tr> <tr> <td bgcolor="#FFFFFF"><p><INPUT TYPE="TEXT" NAME="Daytime_Phone" SIZE="20"></p></td> <td bgcolor="#FFFFFF"><p><input type="text" name="Evening_Phone" size="20" /></p></td> <td colspan="2" bgcolor="#FFFFFF"><p><select name="HOUR"> <option>2.30PM-3.00PM </option> <option>2.00PM-2.30PM </option> <option>1.30PM-2.00PM </option> <option>1.00PM-1.30PM </option> <option>12.30PM-1.00PM </option> <option>12.00PM-12.30PM </option> <option>11.30AM-12.00PM </option> <option>11.00AM-11.30AM </option> <option>10.30AM-11.00AM </option> <option>10.00AM-10.30AM </option> <option>9.30AM-10.00AM </option> <option>9.00AM-9.30AM </option> <option>8.30AM-9.00AM </option> <option>8.00AM-8.30AM </option> <option>7.30AM-8.00AM </option> <option selected="selected">7.00AM-7.30AM </option> </select></p></td> </tr> <tr> <td colspan="2" bgcolor="#CCCCCC"><p>Mobile Telephone Number</p></td> <td colspan="2" bgcolor="#FFFFCC"><p>Please type specific service request here:</p></td> </tr> <tr> <td colspan="2" rowspan="3" valign="top" bgcolor="#FFFFFF"><p><input type="text" name="Cell_Phone" size="20" /></p></td> <td colspan="2" bgcolor="#FFFFFF"><p><textarea name="COMMENTS" rows="15" cols="50" wrap="virtual">Type your Service Request here..., etc.</textarea></p></td> </tr> <tr> <td align="right" bgcolor="#FFFFFF"><p><input type="submit" value="Submit" name="submit" /></p></td> <td bgcolor="#FFFFFF"><p><input type="reset" value="Clear" name="reset" /></p></td> </tr> <tr> <td colspan="2" bgcolor="#FFFFFF"><p>*All requests are pending until confirmed by appointment desk.</p></td> </tr> </table> </form></td> </tr> </table> <!-- END CONTENT--> </div> <!-- END WRAPPER --> <!-- START FOOTER --> <div class="footer"> <p>&copy;2011 Borton Volvo 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