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Tow & Roadside Request Form - TAKERS, INC.

(After-Hours Roadside Request – Kansas)

Customer Information

Vehicle Information

(Copy and Paste your Apple Maps/ Google Maps location, if unknown.)

Service Requested

Services
Jump Start / Dead Battery
Tire Service
Tow Inoperable Vehicle
Relocation Tow
Authorized Accident Tow – Police Clearance Required
Other

Emergency ASAP requests outside business hours may be accepted depending on availability. Please call to request.

Call - (316) 640-1837

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