AFTER HOURS KEY DROP ENVELOPE
( Please fill out, print, and drop off )

 
Name:      
Address: City:    State:      Zip:
Bus Phone: HM Phone:    
Mileage:      
Year:   Make: Model:
License #:   Color:    


Check / Repair The Following
 
FREE SAFETY INSPECTION Automatic Transmission Flush Brake Flush Power Steering Flush
Fuel Induction Service Lubrication Service Oil & Filter Air Cleaner
Transmission Oil Differential Oil Oil Leaks Engine Tune-Up
Muffler Exhaust System Emissions Services State Inspection
Clutch Brake Alignment Wheel Bearings
Balance wheels Rotate Tires Steering and Shocks Lights
Air Conditioning Flush Radiator Body Damage Undercoat

Comments:


DO YOU WANT OLD PARTS?  Yes  No

NOT RESPONSIBLE FOR ANY PERSONAL ITEMS LEFT IN VEHICLE. 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 mechanic's lien is acknowledged on the above vehicle to secure the amount of repairs thereto. You will not be held responsible for the loss or damage to vehicle or articles left in vehicle in case of fire, theft, accident or any other cause beyond your control.

Signed X         _____________________________________________________