Vehicle Pick Up Form - Honest Wrenches Auto Repair

Choose A Location *

Date *

Phone *

Customer Name *

Email *

PICK UP ADDRESS *

Address Line 1

Address Line 2

City

State

Zip Code

Additional Information: (Parking Lot Location, Garage Code, Gate Code Etc.)

Vehicle Information

Vehicle Year *

Color *

Vehicle Make *

License Plate *

Vehicle Model *

Keys Location: (Please Place Keys Above The Visor) If Placed Differently Please Note Here: *

Permission to allow Honest Wrenches to operate vehicle *

I give permission to allow Honest Wrenches to operate my vehicle and move the seat & mirrors for the safety of the driver.

Pick Up & Delivery Times Agreement *

I agree that pick up times are between 7:30AM - 10:30AM & Delivery Times are 2:30PM - 5:30PM

Minimum Fuel Agreement *

I agree that my vehicle has a minimum of 1/4 tank of fuel for transportation purposes. (If not I agree to pay a fueling fee of $35.00)