AUTHORIZATION INFORMATION

(PLEASE READ CAREFULLY AND COMPLETE THE FORM BELOW)

INTRODUCTION

We appreciate the opportunity to serve you. In addition to providing outstanding service, our goal is to meet or exceed your expectations such that you will provide us with a 5-star Google Review upon return of your vehicle.  We want to keep you informed of the progress of the repairs and to address any questions or concerns you may have now or during the repair process.

 

By capturing the following information, we will be able to resolve your questions or concerns and communicate with you in the most effective and convenient manner possible.

 

 

CUSTOMER INFORMATION AND AUTHORIZATION TO PROCEED

Attention: Please complete ALL items on the following form. 

Authorized and Accepted: Upon completion and submission of this form, Candy Apple Custom Inc. is hereby authorized to make the specified repairs to my vehicle. I understand that payment in full will be due upon the release of the vehicle, including additional supplemental damage charges, and hereby grant Candy Apple Custom Inc. and their employees permission to operate the car, truck, or vehicle herein described on the streets, highways, or elsewhere for testing and evaluating vehicle systems in accordance with manufacturer procedures and insurance claim determinations; including electronic system scanning, testing, measuring, inspections, vehicle data collection and documentation in relation to vehicle repairs and assessments. An express mechanic’s lien is hereby acknowledged on the above vehicle to secure the amount of repairs thereto. It is acknowledged that your outdoor storage fee is $35 per day when applicable. Old parts removed from the vehicle will be discarded unless otherwise instructed prior to the start of repairs. If vehicle is not picked up within 48 hours after repairs are completed storage will be charged at $50 per day inside storage.

 

Candy Apple Custom Inc. will not be responsible for the loss or damage to vehicle or articles left in the vehicles, in case of fire, theft, accident, or any other cause beyond our control. Not responsible for window tint.

 

We accept the following means of payment:

 

  1. Insurance Check or Payment Check

  2. Visa Debit or Credit 

  3. Mastercard Debit or Credit

  4. American Express

  5. Cash

 

NO PERSONAL CHECKS ACCEPTED

 

 ALL DEDUCTIBLES, CUSTOMER PAID REPAIRS, BETTERMENT, AND INSURANCE MUST BE PAID TIME OF PICK-UP.

© 2019 Candy Apple Custom