Auto Repair Order Form

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Auto Repair Order
Qty
Part no
Description
Price
Amount
Company name & address:
Ref no:
Name:
Date
Address:
Due on
Year
Make/Model
VIN
Rep
Phone
Tune up □
Oil change □
Minor overhaul □
Major overhaul
Spark plugs □
No
Instruction
Amount
Subject to terms and conditions as required by law.
Total Parts
Total parts
Total Labor
The warranties as applicable for the parts will be as provided by the
I hereby authorize the company to perform the repair work
Other Charges
manufacturer. The company’s liability will be limited to what is expressly
as detailed above and to operate/drive the vehicle for the
Tax
required by the applicable laws and will not extend beyond.
purpose of inspection or testing.
Total
Signature:_______________________________________

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