Air Conditions

Please provide us with following information so that we could contact you for a diagnosis and suggestions for your car.

Thank You!

Name:
E-mail:
Phone:
Year:
Make:
Model:
Transmission:	Auto	Standard
Mileage:
Does A/C system cool OK?	Yes		No	Sometimes
Does the fan work?	Yes		No	Sometimes
Is the fan noisy?	Yes		No	Sometimes
Do the vent, heater work ok?	Yes		No	Sometimes
Is A/C noisy when turned on?	Yes		No	Sometimes
Does car start funny, when A/C is on?	Yes		No	Sometimes
Does your car overheat?	Yes		No	Sometimes
Has the A/C filter/dryer ever been replaced?	Yes		No	Sometimes
When was the A/C system serviced last?
Does A/C or heater smell?	Yes		No	Sometimes
Other Problems or Comments: