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Car Repair Service Form
Please complete this form accurately !
Contact Information :
Vehicle Information
Safety Service Required on :
Select
Lights
Horn
Mirror
Signals/Hazard
Wipers/Washers
Windshield
Gas Cap
Gauges/Dash Lights
AC & Heater
Official Markings
Seat Belts
Conditions for Acceptance of Service Request
*
We strive to complete all work as quickly as possible. You MUST be willing to leave your car for as long as necessary to complete (depending on the nature of the issue) the repair.
Accurate repair estimates cannot be made without first evaluating the car. Any estimate made prior to vehicle inspection/evaluation will only be considered a “ball park” figure if requested.
All cars must be legally titled, licensed and insured or service request will be denied.
We only accept vehicles 15 years or newer for service/repair consideration (from present model year).
Your Company Name
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A brief intro is always great. It's Helps people to identify your company.
Address
[email protected]
800-555-0101
yoursite.com