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Address Information

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Vehicle Information

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Authorization

I hereby authorize the repair work to be performed along with the necessary material and agree that you are not responsible for loss or damage to the vehicle, articles in the vehicle, fire, theft, or any other cause that is not a direct result of your gross negligence or for delays caused by unavailable parts or delays in parts shipped by the supplier or transporter. I HAVE REMOVED ALL PERSONAL ITEMS FROM MY VEHICLE, INCLUDING BUT NOT LIMITED TO CASH, JEWELRY AND ALL AUDIO/VIDEO EQUIPMENT. I UNDERSTAND THAT THE TROPHY COLLISION CENTER IS NOT RESPONSIBLE FOR PERSONAL ITEMS DECLARED AS MISSING OR DAMAGED. I hereby grant you and/or your employees permission to operate the vehicle herein described on streets or highways for inspection. An expressed mechanic's lien is hereby acknowledged on above vehicle to secure the amount of repairs thereto. Customer understands that prior damages are notated by office staff and used as a reference during the extent of the repairs. Customer agrees that he/she will be jointly and severally responsible and liable for payment of all charges for labor, parts, material and accessories, sublet repairs to the vehicle, and any other charges incurred under this Agreement, and payment in full shall be made prior to the release of the vehicle. If the vehicle is not picked up within ten (10) days after the dealership has notified the Customer that the repairs are completed, the dealership may charge daily storage fees at rates that are ordinary and customary for the area, but not to exceed $50.00 per day.

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Virtual Repair Authorization

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Vehicle Information