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NEW FEATURE!
Dealer – On Lot
Service Request
IMPROVED!
Dealer We Owe Request
Dealer Pay
Dealer Referral
Client Pay
Services
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Dealers
NEW FEATURE!
Dealer – On Lot
Service Request
IMPROVED!
Dealer We Owe Request
Dealer Pay
Dealer Client Referral
Client Pay
Services
Book Appointment
Service Availability
My Account
Contact Us
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My Appointments
Dealer We Owe Request
Dealer We Owe Request - Dealer Pay
Step
1
of
2
- Dealer Info
0%
Your Dealer Info
Requesting Dealer Name
*
Dealer City
*
Dealer State
*
Delaware
District Of Columbia
Maryland
New Jersey
Pennsylvania
Virginia
Your Name
*
First
Last
Your Phone #
*
Your Email
*
Your Position Title
*
Select Position Title
General Store Manager
Sales Manager
Sales Employee
Used Car Manager
Service Manager
General Employee
Dealer Pay Or Client Pay?
*
Who will be paying for bill?
Dealer Pay
Client Pay
Please Use Dealer Client Referral Request
We noticed that you selected "Client Pay" but your current page you are on is for "Dealer Pay" please use the following link below for requesting service for your client when client will be paying for bill:
CLICK HERE TO REQUEST - Client Pay - Dealer Referral
The following link will allow you to refer service to your client; on behalf of your dealership.
Dealer Purchase Order #
Attatch Purchase Order
Accepted file types: jpg, gif, png, pdf, Max. file size: 4 MB.
Client Info
Client Name
*
First
Last
Client Primary Phone #
*
Client Secondary Phone
Client Address
*
Street Address
Address Line 2
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
Client Vehicle Information
Stock #
VIN # (Last 6)
*
Vehicle Year
*
Select Vehicle Year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
Vehicle Make
*
Select Vehicle Make
Acura
Audi
BMW
Buick
Cadillac
Chevrolet
Chrysler
Dodge
Fiat
Ford
Genesis
GMC
Honda
Hummer
Hyundai
Infiniti
Isuzu
Jaguar
Jeep
Kia
Land Rover
Lincoln
Lexus
Maserati
Mazda
Mercedes
Mercury
Mini
Mitsubishi
Nissan
Oldsmobile
Pontiac
Saab
Saturn
Scion
Smart
Subaru
Suzuki
Tesla
Toyota
Volkswagen
Volvo
Vehicle Model
*
Type Of Service Requesting
What type of service do you need?
*
All Keys Lost - Key Origination Service
Need Remote (Provided/Programmed)
Key (Provided/Programmed)
Other
Please explain the type of service needed for your request below:
*
Hidden
Status
Needs Approval
To Call
Waiting On Client
OTA Programming
Appointment Scheduled
Completed - Invoiced
Terms Of Agreement
Terms Of Agreement
*
Requestee agrees that they have permission to request service & are authorized to order work on behalf of the above company and/or person. I understand by agreeing I am giving Delaware Auto Keys permission to contact client on behalf of requested services.
I agree to the terms of agreement.
*
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