New Customer Information Form

Here at BA Auto Care, we are focused on delivering service excellence. By completing this new customer information form, we will be able to ensure greater quality in servicing your vehicle, as well as to align our services with your needs.

Downloadable PDF

- Name
  First Last
- PO #
Email
Tag Number
- Model Year of Car
- Make
- Model
- Owner Car Since New
- If No, Indicate Number of Years Owned
- Estimated Miles Driven Per Year
- Primary Use
Please provide the following information about your last preventive maintenance service.
- Mileage At Last Maintenance Service
- Date of Last Maintenance Service
  Month
  Day
  Year
- Service Type
Please indicate how often your car is serviced. Choose the mileage or monthly option depending on which best describes your service interval.
- Number of Months Between Maintenance Services
- Number of Miles Between Maintenance Service
How often do you check the oil level?
- Do You have to add oil?
  - Yes
  - No
- If yes, how much?
- If yes, how often?
Type of oil used
- Do you have copies of your service records?
- If "other" please describe below.
Please list any problems or concerns with the vehicle
Notes