(812) 752-3690

Appointment Request

Fill out an appointment request form to come get your vehicle repaired.

  • Personal Information








  • (555) 555-5555
  • xxx@xxxx.xxx
  • Vehicle Information







  • Appointment Information

    Please Note: These dates and times are not scheduling an actual appointment. Someone will contact you with a confirmed date and time.



  • MM slash DD slash YYYY

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  • MM slash DD slash YYYY

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  • Services Requested/Comments

  • Elliott Auto Inc

    898 North Gardner Street
    Scottsburg, IN 47170

  • Phone: (812) 752-3690

  • Feel free to call or email us to schedule your next appointment.

    Business Hours

    Monday - Friday
    8:00AM - 5:00PM

    Saturday
    8:00AM - 12:00PM

    Sunday
    Closed

    We also accept
    checks.

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