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Win Gas Card

We’re giving away $250
worth of gasoline and it could be you.

Refer a friend and you both could win!

How the online draw works: You enter the online draw below and have a change to win a $250.00 gas card. If you refer a friend below, they could win $150.00 by entering the contest and you would get $100.00 if they won! Its that easy....

  • Remember - A poorly maintained vehicle can consume more fuel, create more greenhouse gases, produce more air pollution and be a hazard to you and everyone else on the road.
  • A well maintained car will run better, use less fuel and produce less pollution.
  • Maintaining your vehicle will help avoid nasty surprises and will keep you moving. Who wants to be mentioned in the next traffic report?
  • Keeping your vehicle maintained will save you money!

For your chance to win, simply fill out the form below.


First Name:
   
Last Name:
   
Gender: Female        Male  
   
Phone:
   
Email:
   
Address:
Postal Code:
City:
   
How did you find out about this contest?
 
   
Do you currently service your vehicle(s) at Sil’s Auto Diagnostic Centre?
   
How many vehicles are in your household?
 
When was the last time you serviced your vehicle?
   
Please check off the vehicle services below that you have over the last 6 months:

New Tires    Brake Service    Oil Change Service (LOF)  

Aquapel Windshield Treatment   Seasonal Maintenance Service
   
Your Vehicle Details: 
   
Vehicle 1: Make: 
  Model:
  Year:  
   
Vehicle 2: Make: 
  Model:
  Year:  
   
Vehicle 3: Make: 
  Model:
  Year:  
   
What proportion of your total auto repairs and services expenditures do you spend at Sil’s Auto Diagnostic Centre? 
   
Have you had any vehicle breakdowns this year? 
If so, what was the cause? (ie. Dead Battery, Tire Blow Out...)
 
   
Refer this draw to a friend and you will have 2 chanes to win! 


Referral First Name:
Referral Last Name: 

Referral Email Address: 

   

Referral First Name:
Referral Last Name: 

Referral Email Address:

 
Do you have any additonal Comments to send to us?
   

Thank you for participating.  Click the ’Submit’ button to send in your entry ballot.

 


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