Car Care - New Application
Car Care Clinic
New Client Application Request

Car Care Clinic provides minor auto repair for low- to moderate-income individuals.

We use federal income guidelines to determine eligibility. We also are proud to provide service to students and veterans. To be eligible, students are required to provide a current student ID and veterans are required to provide a U.S. government ID or document that shows veteran status.

 

Required Fields have this backgroud color
First Name

Last Name

Address
City State Zip Code
At least 1 phone number is required
Home Phone Cell Phone
Work Phone Ex Email
 Recommended By
Vehicle Information
Make
Model Year
Color Engine Size VIN
Service
Wanted

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