Complete the following information
then print and sign this form.
Leave your LOCKED car on our lot.
Place your keys and this form in the provided envelope.
Drop the envelope in the mail slot at the side of our building.
I hereby authorize
the above repair work to be done along with the necessary materials,
and 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 mechanic’s lien is hereby
acknowledged on the above vehicle to secure the amount of repairs and/or
service thereto. Our facility is not responsible for unavailability
of parts or delays in parts shipments neither beyond our control nor
for loss or damage to vehicle or articles left in vehicle in case of
fire, theft, or any other cause beyond our control.
Please Sign Here______________________________ Date:___________________________