After Hours Dropoff Form
    Drop-Off Date:    
 Name: Daytime Phone:    
 Address: Email:    
 City:   St:  Zip: License:    
Make Of Car: Model: Year:
Please describe the problem you are experiencing or the specific service you would like to have performed. Please be as specific as Possible. Check all that apply

Please provide me with a:
DISCLAMER OF WARRANTY: THE SELLER, HEREBY EXPRESSLY DISCLAIMS ALL WARRANTIES, EITHER EXPRESSED OR IMPLIED, INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE, AND NEITHER ASSUMES NOR AUTHORIZES ANY OTHER PERSON TO ASSUME FOR IT ANY LIABILITY IN CONNECTION WITH THE SALE PRODUCTS BY SIGNING BELOW, YOU AGREE: In the event that you, the customer, authorize commencement but do not authorize completion of a repair or service, a charge will be imposed for disassembly or partially completed work. Such charges will be directly related to the actual amount of labor and/or parts involved in the inspection, repair or service. Vechiles must be picked up when we are finshed working on them, or as soon as you elect not to complete repair work. You agree that any vehicle not picked up within 10 days is subject to storage and or towing charges.

I hereby authorize the repair work herein set forth to be along with the necessary material and agree that you are not responsible for loss or damage to my vehicle or articles left in vehicle in case of fire, theft or any other cause beyond our control or for any delays caused by unavailability of parts or delays in parts shipments by the supplier or transporter.I hereby grant you and / or your employees permission to operate the vehicle herein described on streets, highways or elsewhere for the purpose of testing and/or inspection. An express garage keeper?s lien is hereby acknowledged on vehicle to secure the amount of repairs thereto. The last 4 digits of my social security or driver?s license number will serve as my Electronic Signature (Required)


Once you have completed the form, click on the "SUBMIT" button. If you filled out the form completely, and your form fully submitted, you will be redirected to the "Success" page. If you are not redirected, your form did not go through. In that case, please try again. Form must be filled out completely in order for the form to process correctly. If you have any issues, please call or email us.