Wiley Auto Group

3601 Stockton Hill Rd
Kingman, AZ 86401
Phone: 928-757-3131
Fax: 928-757-5818

In order to best service you with your request, please provide as much detail as possible.

CONTACT INFORMATION

First Name

Last Name

Best Way To Contact

Contact Phone Number

Email Address

Home Address

City

State

Zip

YOUR OFFROAD VEHICLE DETAILS

Please provide details about the vehicle you wish to have offroad capabilities.

Is Your Vehicle New or Used?New
Used

Year

Make

Model

Mileage

Is it used for work or pleasure?

Additional Comments

OFFROAD ACCESSORIES ORDER DETAILS

WILEY AUTO GROUP wants to ensure that you get exactly what you need. Please supply as much detail as wish.

Is This Your First Off Roads Vehicle?Yes
No

Is It Presently Detailed?Yes
No

What Is Most Important For You?Looks
Performance
Durability

What Accessories Are You Looking For?Bedliners
Window Tint
See Thru Bars
Wheels & Tires
Lift Kits
Other (Please Explain)

Other (Accessories Not Listed)

Additional Comments