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Customer Information
Customer Name
Address
Phone
Email
Vehicle Information
Make
Model
Year
VIN
Mileage
Work Details
Service Type
Parts Needed
Labor Hours
Total Cost
Technician Information
Technician Name
Technician Signature
Customer Acknowledgement
I authorize the above repair work to be done along with the necessary materials. I hereby grant you and/or your employees permission to operate the vehicle(s) described above on streets, highways or elsewhere for the purpose of testing and/or inspection.
Customer Signature
Date