Home

Print, Complete and Sign this form for early morning or late night drop off or submit via email by selecting the Send button below to schedule service.

When using our Early Bird or Night Owl drop off, please be sure to park in the assigned area (not in the driveway) and lock your vehicle. Place your keys in the envelope provided at the shop along with a printed copy of this form.

Name:
(required)
Address:
City, State and Zip Code:
Phone:
Alternate Phone:
Email:
(required)
Best method to contact:
Phone
Alternate Phone
Email
Detail Request:
Estimate requested before work is performed:
Desired Drop Off Date:
Desired Pick Up Date:
License Plate:
Mileage:
Vehicle Type:
Car
Van
SUV
Truck
Commercial Truck
Motorcycle
Other
Make & Model of your vehicle:
Year:
Color:
Use this check list to note what services you want performed:
Automotive (Interior/Exterior/Both):
Mid Sized SUV or Mini Van (Interior/Exterior/Both):
Full Size SUV (Interior/Exterior/Both):
Oversized SUV or Conversion Van (Interior/Exterior/Both):
Limo or Passenger Van (Interior/Exterior/Both):
Hand wash (Car):
Hand Wash Truck or Van:
Compounding:
Tar/Bug Removal:
Steam Clean Carpets:
Other:
Other Comments/Questions:  

By printing or emailing this form, I hereby authorize the above repair work to be done along with the necessary parts and labor, and agree that you are not responsible for loss or damage to the vehicle or articles left in the vehicle in case of fire, theft or any other cause beyond your 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 employee’s 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 repair thereto. I understand because of the Early Bird/Night Owl Service, I am unable to receive a copy of the service estimate while placing this order.

NOTE: Extra charge will apply for oxidized or extremely dirty vehicles.

If submitting by Email, please enter Security Code shown bellow:

If submitting by printing, please sign and date.


Signature:

____________________________

Date:______________