Early Bird Form
Please complete the form below and click the print button. Once form has been pritned please sign in the designated area. When dropping your vehicle off please park along the curb and do not block the gate or driveway. Please make sure you remove any valuables from your vehicle and leave your wheel lock key in the glove box. Place your keys and alarm pad in the envelope with this form, seal the envelope and place int he drop box.
Name
Address (new customers only)
City

 State  Zip

Day Telephone  
Pickup Date
Pickup Time
Year  Make  Model
Tag Number
Mileage
Requested Service(s)
 
Other Requested Service(s)
Comments/Notes
  Customer Rights Please Read Carefully: I understand that if repairs exceed $50.00 I am entitled to an Oral Estimate or a Written Estimate which will require my presence for signature. I understand that I may not be charged more than 10% of the original estimate without my written or oral consent.  I Already Have an estimate  I Need an estimate  I Do Not Need an estimate unless repairs exceed $  If I request I am entitled to the return of any replaced parts except when parts are required to be returned to the manufacturer under a warranty agreement. I would like my old parts returned Yes  No  I understand that repairs not originally authorized by me may not be charged to me without my consent. I hereby authorize the above repair work to be done along with the necessary materials. You and your employees may operate the above vehicle for purposes of testing, inspection, or delivery at my risk. An express mechanics lein is acknowledged on above vehicle to secure the amount of repairs thereto. It is also understood that you will not be held responsible for loss or damage to cars or articles left in cars in case of fire, theft or any other cause beyond your control. Any vehicles left on our premises, without prior arrangements for more than 48 hours after completion will be charged $25.00 per day storage.