Reservation Form
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1DEPENDABLE TOWING & RECOVERY, INC.
2160 Lafayette Street, PO Box 266 ● Falconer, NY 14733-0266
TEL: 716-665-3983 or 800-665-3983 ● FAX: 716-665-3904
Email: dependable@windstream.net ● Website:
IN-TRANSIT
RESERVATION FORM
Stock#
Buyer#
Lot#
VEHICLE:
(last eight)
Year
Make
Model
VIN
PICK-UP:
Contact:
Address:
City,State,Zip
Telephone:
(home)
(work)
(cell)
DESTINATION:
Contact:
Address:
City,State,Zip
Telephone:
(home)
(work)
(cell)
Amount
$
Deposit
COD $
DATE VEHICLE READY:
DEPOSIT TO BE MADE IN THE FORM OF US POSTAL MONEY ORDER,CHECK,OR CREDIT CARD
☺
MAKE PAYABLE TO DAVID A. WHITEHILL
☺
ALL DEPOSITS ARE NON-REFUNDABLE
ANY VEHICLE FOUND TO BE INOPERABLE AT THE PICKUP LOCATION WILL
RESULT IN AN ADDITIONAL $100 TO BE PAID COD, UNLESS PREVIOUSLY STATED
TO DEPENDABLE.
How did you hear about Dependable Transport?
NOTE:
Any personal belongings being transported in the vehicle must not exceed 100lbs. and must be packed in the trunk. Dependable Towing &
Recovery, Inc. cannot be held responsible for damages done to vehicle due to over loading nor can Dependable Towing & Recovery, Inc. be
held responsible for personal belongings if they become lost, damaged, or stolen during transport. The driver will determine where the vehicle
will be picked up and/or dropped off, as some locations are not accessible to transport trucks. We do not guarantee door-to-door service. We
do our best to accommodate the customer.
☺
BE PREPARED FOR DELAYS.
☺
DO NOT FILL THE FUEL TANK.
☺
DO NOT LEAVE PRESCRIPTION DRUGS IN THE VEHICLE.
Customer Signature:
Date
**NOTE- Deposit must be sent with reservation form
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