Your Name

Your Address

Your ZIP Code

Your Phone

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Vehicle Information

Year

Make

Model

Color

License Plate Number

Requested Service or Description of Problem

$25.00 per day storage (charged 48 hours after repairs are completed or if service is declined)

$45.00 minimum inspection

I nearby authorize Auto Express Vale to perform the repair on this work order and to furnish the necessary materials and it's employees to operate the vehicle for purpose of inspection, testing and deliver. Auto Express vale is not responsible for vehicle or contents in case of fire or theft or freezing or any other cause. Storage will be charged 48 hours after repairs are completed or if service is declined a cost of $25.00 per day.