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Orr Nissan South

1240 E Bert Kouns Ind Loop
Shreveport, LA 71105
Phone: 318-797-2424
Fax: 318-798-3997

Loyalty Card

* Required

Use this form to request a loyalty card. This card is a free courtesy card that we offer our customers as a thank you for their loyalty to our dealership. This card may be used to receive discounts and/or free products or services in our service department or our parts department.

Fields marked * are required.

Customer Information

Card Number

First Name *

Last Name *

Address *

City *

State *

Zip *

Date of Birth *

Phone Number

Email Address *

Vehicle Information

Year/Make/Model *

Current Mileage

Purchased Extended Warranty?Yes
No

Warranty Term

Department Where Activated

Sales Associate

* Required