Jim Ball Buffalo Car Dealership - Buffalo Used Cars, Buffalo New Cars jimball.com

Parts / Service Hours
Mon, Wed, Friday ________________________ 8:00am - 4:30pm
Tuesday, Thursday_______________________ 8:00am - 8:00pm
Saturday_______________________________ 8:00am - 1:00pm
Sunday _______________________________ Closed

Parts Request Form

Vehicle Information

*Year:

Miles:

*Make:

Vin:

*Model:

Parts Information

	Part Number	Part Description
1
2
3
4

Additional Information

Part Needed by:

Customer Acct. No.:

Payment Method:

Business Name:

Message Text:

Contact Information

* First Name:

* Last Name:

* Email:

Home Phone:

* Day Phone:

Fax:

Cell Phone:

* Address:

* City

* State

* Zip:

* These fields are required
I certify that I have provided true and accurate information in this form. By submitting this form, I authorize the dealer the ability to contact me to confirm my appointment or to correct any information.


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