Car Repair Agreement

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51 Macy Street

(Route 110)
Amesbury, MA 01913
978.388.5959

AUTO
REPAIR AGREEMENT
Customer Name:__________________________________________________________ Phone (C):_______________________________

Address:________________________________________________________________ Phone (W):______________________________

Email:___________________________________________________________________ License Plate #:___________________________

Make of Vehicle:____________________________ Model:___________________ Year:________________ Color:____________________

Labor Charges: I authorize permission to operate the vehicle herein described on streets, highways, or elsewhere
The Estimate of Repair includes parts, labor and diagnosis. Please be advised that Amesbury for the purpose of testing and/or inspection. I also agree to divulge any information on pre-existing
Foreign Auto (AFA) has posted labor rates below. Any labor charges will be the customer’s conditions that could deem the vehicle unsafe for test-drive.
responsibility. If, on further inspection, additional parts or repairs are needed, the Customer will be
contacted for prior authorization. Personal Items:
I, the Customer, will be responsible for loss or damage to my vehicle from fire, theft and accidents.
MECHANICAL $124/H *HAZ WASTE $6 *BATTERY FEE $6 P/BATTERY Furthermore, I, the Customer, will be responsible for any personal items left in the vehicle (or any
DIAGNOSTICS $150/H *SHOP SUPPLIES 4% of Total Bill TEARDOWN FEE $290/Max 2.5HR loss caused beyond AFA’s control). I, the Customer, represent and agree to remove all personal items
SHOP CHRGE/ADM $100 *TIRE DIS FEE $6.00 P/TIRE STORAGE $50 P/DAY from my vehicle before any work is commenced.
*This represents costs to the motor repair facility for miscellaneous shop supplies or waste disposal.
Labor charges are subject to change without notice. Terms of This Agreement:
Storage Policy: The Customer agrees to carry full property casualty and liability insurance.
Once the repair of the vehicle is completed, the vehicle must be picked up and paid in full within The Customer and AFA agree that this Agreement shall not be assignable without the written
72 hours of notice or storage charges will accrue. If vehicle is returned to a Customer before repairs consent of all parties hereto.
are performed, storage beginning the day the vehicle was brought in, diagnostic charges, tow The Customer hereby agrees to pay One Hundred ($100.00) Dollars for any returned check, such as
bill, handling charges, will be paid before the vehicle is released. No storage is due if the vehicle is non-sufficient funds, account closed, stop payment, or for any other reason.
repaired at AFA, except as stated hereinabove.
This Agreement shall be construed in accordance with the laws of the State of Massachusetts. Any
Authorization for Repair: action brought to enforce or interpret this Agreement shall be brought in a court of competent
I, the Customer, hereby authorize AFA to complete repairs. I acknowledge the policies and practices jurisdiction in Essex County, Massachusetts.
explained and personally guarantee that I will pay all sums upon presentation of a final invoice. If any action at law or in equity is necessary to enforce or interpret the terms of this Agreement, the
Should I default in the payment, I grant a lien on said vehicle to AFA and understand that my prevailing party in litigation or Arbitration shall be entitled to receive reasonable attorney’s fees,
vehicle will not be released to me until the amount due is paid in full. If payment is not paid within expenses, costs of appeal, and necessary disbursements in addition to any other relief to which that
30 days, AFA will proceed with filing a lien on the vehicle for acquisition of the title. Payment party may be entitled.
including work performed, storage, administrative, tow bill, collection expenses and attorney’s fees
will be due prior to the release of the lien.

ESTIMATE AUTHORIZATION AND ACKNOWLEDGMENT OF POLICIES:

Please read carefully, check one of the statements below and sign:
I request a written estimate
I do not request a written estimate as long as the repair costs do not exceed $___________. The shop may not exceed this
amount without my approval.
I do not request a written estimate.

Repair Authorization Signature/Acknowledgment of Policies

CUSTOMER SIGNATURE _____________________________________________________________DATE __________________________

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