1015 Texas Blvd. Texarkana, TX 75501 903-793-3116 903-748-3116

Rentals from Shipp Motor Company

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: