

Please fill in all fields marked with a *
	Dealership	*
	Shop Day Date	*
	First & Last Name	*
	Home Phone	*
	Work Phone
	Email Address	*
	Year/Model Corvette	*
	Work Planned	*
	Technical Support Requested
	Special Tools Requested
	Lift Required	No Yes
	Lift Required How Long
	Helpers Requested
	Any Parts/Supplies Needed
	Suggestions
Register one week prior to shop day date to allow scheduling and coordination with appropriate dealership service department personnel. Advance planning will assure a successful shop day for you and Corvette Atlanta. For further assistance, contact Dan Nugent.