Service Appointment Request
Requests for appointments will be handled on a first-come, first-served basis. You will receive a confirmation of your appointment time - via the preferred method of contact indicated. Requests made before 2 p.m. will be confirmed by 6 p.m. same-day. Requests made after 2 p.m. will be confirmed by 10 a.m. the following day. Please note, your appointment is not considered confirmed until you receive a follow-up notice from Dominion. If you have any questions or concerns, please contact us directly by phone.

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

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Dominion Short Pump
12050 W. Broad Street
Richmond, VA 23233
Phone: (804) 451-1488
Email: Contact Us
Fax: (804) 364-4596
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