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
New Customer
Address
(new customers only)
City
State
Zip
Day Telephone
Home
Work
Cell
Pickup Date
Pickup Time
Year
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1997
1996
1995
1985 Or Older
Make
Acura
Audi
BMW
Buick
Cadillac
Chevrolet
Chrysler
Daewoo
Dodge
Eagle
Fiat
Ford
GMC
Honda
Hummer
Hyundai
Infiniti
Isuzu
Jaguar
Jeep
Kia
Land Rover
Lexus
Lincoln
Mazda
Mercedes-Benz
Mercury
Mitsubishi
Nissan
Oldsmobile
Plymouth
Pontiac
Porsche
Saab
Saturn
Scion
Subaru
Suzuki
Toyota
Volkswagen
Volvo
Other
Model
Tag Number
Mileage
Requested Service(s)
Oil Change
New Tires
A/C Service
MD State Inspection
Alignment
Tune Up
Cooling System Flush
Transmission Svc
7,500/15/45K Service
30/60/90K Service
Timing Belt
Replace Wiper Blades
Rotate & Balance Tires
21 Pt Safety Insp.
Monthly Special
Please check my vehicle service records to see if my maintenance is up to date.
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.