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BLAGG TIRE AND SERVICE
604 SOUTH MAIN STREET Click for MAP
GRAPEVINE, TX 76051
(817) 481-4578

First Name:
Last Name:
Email Address:
Address:	apt/suite
City:	State zip
Phone:	Home Work Mobile
Vehicle Information example: 2007 Ford Lincoln Year Make Model
Description of the problem or repair needed: Special Requests (rental car needed, tow services, etc.) Preferred Appointment Date: Shuttle Service Request: Not Needed 08:30am 9:30am Preferred Contact Method? Home Phone Work Phone Mobile Phone Email Address Submit my email address for future email specials and coupons? Yes No

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