DIRECTIONS 1) Fill in contact information. Please Print 2) Write your service request on the envelope 3) Place keys in this envelope & drop in the slot in front bay door 4) We will contact you by 9:00am to confirm receipt
REPAIR NEEDS __ Dash Warning light is on __ Brake Inspection __ Will Not Start __ Fluid Leak __ Runs Poorly __ Noise / Vibration
Comments:__________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ I hereby authorize up to $_________ repair work to be done along with the necessary parts and supplies. Employees may operate this vehicle on streets & hwys. for the purpose of testing or delivery. The Auto Mechanic Specialist or the employees are not responsible for any damage of or theft of vehicle or any contents. For non-payment of repairs and parts, an express mechanic's lien is hereby acknowledged on above vehicle to secure the amounts of repairs thereto.