Hectors Auto Repair Sign in

Customer Details:
Date

MonthDayYear
Date
Full Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Would you like to add an additional person as a contact.
Optional Second person

First NameLast Name
Optional Second Number

Area CodePhone Number
E-mail*
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Vehicle Information:
Car Year*
Year
Car Make/ Model *
Car Model *
Car Color *
Please explain whats wrong with your car?*
POLICY AND SERVICE AGREEMENT

*Customer will pay a fee of 69.99 for a diagnostic

If the customer decides to fix the car, this fee will be waived.

*We are not resposibile for loss or damaged due to fire theft, or any other problmes beyoind our control.

* All cars left at HAR After 3 days of being notification- are subject to a storage fee of 65.00 per day.

* All waranty work must be presented with an invoice.

*By signing this agreement you acept the terms and conditions and you are authorizing the job to be done by HAR.
Policy and Service Agreement Signature**

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