HomeCheck In Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Phone Message *Service Requested *Change oil & FilterCheck Heater LubricationFront End AlignmentVibration/NoisesCheck BrakesCheck Air ConditionerCheck HeaterCheck Exhaust SystemDo Engine Tune-upCheck Cooling SystemCondition InspectionEngine Oil LeakCheck Shocks & SteeringService TransmissionRotate/Balance TiresCheckboxesTransmission LeaksTransmission NoiseEngine Runs ErraticNoise in EngineNo Starter ActionWill Not Start When ColdWill Not Start When HotIdles PoorlyEngine Stalls - BrakingEngine Stalls - TurningEngine StallsEngine Cranks/No StartOther Concerns/Service Needed:Customer SignatureClear SignatureService Advisor Signature *Clear SignatureAddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeMakeYearModelVIN NoMileageDel DateI hereby authorize the above repair work to be done along with the necessary material 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 inspections. I understand any cost quoted previosuly is an estimate only. Should the customer fail to authorize completion of repairs or services at the time customer approval is requested, a charge may be imposed for partial work completed. An express mechanic's lien is hereby acknowledged on above vehicle to secure the amount of repairs. We accept cash, approved checks, and credit cards. Payment is expected on completion of repairs. Submit