Vehicle Drop Off Declaration

Please fill out the following form in order for our mechanic to start work on your vehicle

Full Name

Phone

Vehicle Number

Company Name

Workshop:

APP1 #02-06

APP2 #02-18

Declaration:

By checking on this box, I accept the below(Link to T&Cs of Repair)

1. Please carry out the repair to my vehicle in accordance with my request

2. I agree to be bounded by the Terms & Conditions (View T&Cs of Repair)

3. I have been reminded to remove all personal belongings or other items from the vehicle and agree that Autopoint Performance will not be responsible for loss or damage to any of my personal belongings or other items which may be left in the vehicle

4. I confirm that the information given in this form is true

Your Signature

Date required

Thank You for submitting!