C&C Customs Inc. | Automotive, Diesel, Performance, Fabrication & Welding

Customer Intake Form

Share your contact and vehicle details before service. If you need immediate help, call (541) 816-9544.

Contact Information

Full Name

Phone (required)

Email (optional — needed for auto-reply)

Address (optional)

Vehicle Details

Year / Make / Model

Odometer (miles)

License Plate

Plate State

VIN (only needed if plate is not available)

Is this a fleet vehicle?

Fleet Vehicle Number (if applicable)

Service Requested / Notes By submitting this information, I acknowledge and agree to the Disclaimer & Warranty and related liability release / limitation of liability terms.

Abandoned & Storage Notice: Abandoned vehicles may be subject to a mechanic’s lien as allowed by law. Vehicles left more than 48 hours after completion and notification may be subject to a daily storage fee.

Call (541) 816-9544

Share This Link With Customers

Once deployed, send customers to: /intake.html

Plate + state required if plate is provided
VIN required only if no plate is available
Optional fleet unit number field included

Request Appointment Legal & Waivers

Primary Contact: James Cunningham