Service Appointment Request

Thank you for visiting Romans Motor Company, where we are dedicated to serving all your automotive needs.  Our Service Manager will contact you within 12 hours.  If you need to reach us right away call 866-264-3007.

Vehicle Information

* Year: Miles:
* Make: VIN:
* Model:
Service Information
  Type Of Service(s) Needed:
 
Maintenance I Maintenance II
Oil change Brake inspection Cooling system
Fuel filter Air filter Shocks
Spark plugs Timing belt Tire rotation
Transmission Wheel alignment Air conditioner
  Other/Additional Information:
 
 
  * Preferred appointment time:
 
  * Alternate Appointment Time:
 

Contact Information

* First Name: * Last Name:
* Email: Home Phone:
Day Phone: Fax:
Cell Phone: * Preferred Contact:
* Address:
* City: * State: * ZIP Code:
* These fields are required

Romans Motor Co | an Independence Chevrolet dealer also serving the Coffeyville area
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Romans Motor Co
2313 W Main St
Independence, KS 67301
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P: (888) 383-0843
Email: Contact Us
Fax: (620) 331-0105