11818 S Cicero Ave Alsip, IL 60803 Phone: 708.925.0798 Fax: 708-385-2207

Rentals from Central Auto Sales

First Name:
Last Name:
Email Address:
Mobile Phone:
Home Phone:
Time to Call:
Date of Contact:
Pick Up Date:
Return Date:
Vehicle Type:
Vehicle Year:
Vehicle Make:
Vehicle Model:

Describe the vehicle's problem: