Key Drop Form
Lakewood Tire Pros & Auto Service offers the After Hours Vehicle Drop Off system for your convenience. In an effort to save you time, Please complete this form online and drop your keys in our key drop slot which is located in the 1st garage door (next to the office). Please note, this online form will be emailed to us, there is no need to fill out a paper form as well.
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Address
*
Vehicle Year
*
Vehicle Model
*
License Plate Number
*
Vehicle Color
*
Service Request
Oil, Lube and Filter
Tire Rotation
Wheel Alignment
Brake Service
Cooling System
Engine/Electrical Diagnostic
General Vehicle Diagnostic
Air Conditioning
Brake Inspection
Other:
Service Complaint or list any conditions or symptoms that will help us in repairing your vehicle:
IMPORTANT - If there are any old parts, would you like them returned?
Yes
No
Notice: if you the consumer authorize commencement but not completion, a charge will be imposed for disassembly, or partially completed work.
*
I understand
I hereby authorize the above work to be done along with the necessary material and hereby grant you and/or your employees permission to operate the vehicle herein described in the streets, highways, or elsewhere for the purpose of testing and/or inspection.
*
Yes
No
ESTIMATE: You have the right to an estimate of the cost of repairs or services which you are requesting. Your bill will not be higher than the estimate given unless you approve a larger amount before repairs are finished. You can choose the kind of estimate you want to receive by selecting one of the following choices and indicating a telephone number where you can be reached, if necessary, in the space provided under Customer Information at the top of this form.
*
Written Estimate
Oral Estimate
No Estimate
THE ABOVE REPAIRS SHOULD BE COMPLETED BY THE END OF THE DAY. IF NEEDED SOONER, PLEASE CALL US AS SOON AS POSSIBLE.
I understand
Will you be waiting for your vehicle to be services or dropping it off?
*
TIME YOU EXPECT TO PICK UP YOUR VEHICLE
*
Submit
Should be Empty: