After Hour Service – New Customer

New Customer form

1. Please fill out the information below and one of our representatives will contact you regarding your service.

2. Secure your vehicle by locking it and subsequently deposit the key into the drop box.

Please fill out the information below

Cell PhoneEmailHome Phone

* This checkmark acknowledges receipt of items and services listed, acceptance of terms noted, and agreement to the financial responsibility for payment.

I have read and agree to the terms, including financial responsibility for payment.

I hereby authorize the repair work hereinafter set forth to be done along necessary material and I agree you are not responsible for loss or damage to the vehicles left in a vehicles in the case of a fire, theft, or any other case beyond our control or any delays caused by the unavailability of parts or delays in parts shipments by the supplier or transporter I hereby grant you/or your employees permission to operate the vehicle herein described on the streets. Highways or elsewhere for testing and/ or inspection. A mechanic's lien is hereby acknowledged on the above vehicle to secure the amount of repairs thereto.

NOTE: All drops after-hours drop off MUST be signed work will not be started unless authorized by the customer.