Full Name(Required) First Last Phone(Required)Home Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Vehicle Pickup Address same as Home Address?YesNoVehicle Pickup Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Vehicle Make, Model, & Year(Required)Vehicle Color(Required) License Number(Required) Service(s) Needed(Required) Requested Pickup Time(Required) Preferred Store Location(Required)East (6800 O Street)South (14th & Cushman)Southeast (Artisan Way)North (20th & Cornhusker)IMPORTANTVehicles that are deemed unsafe to drive due to a mechanical issue (i.e. no brakes, flat tires, etc) will not be eligible for Free Pickup & Delivery Service and may require a tow truck. Vehicles outside of the Lincoln city limits do not qualify for Free Pickup & Delivery Service. A minimum purchase of $99 is required for the Free Pickup & Delivery Service. For purchases under the minimum required amount a $15 service fee may be imposed for pickup and delivery of your vehicle. Please contact store for additional details. 24 hour advance notice required for Free Pickup & Delivery Service I agreePhoneThis field is for validation purposes and should be left unchanged. Δ
