Repairs Form

Repairs Form

Below is the Public Repair acknowledgement form for Mechanics of Faith apprenticeship program. All repair work performed will be completed by individuals who are in training to become automotive technicians.
779 Anne Lane Unit 4

Aylett Va 23086
Driver Information
Driver's Name

First NameLast Name
Phone Number
Format: (000) 000-0000.
Email
example@example.com
Year / Make / Model
License Plate (if available)
Covenants
Driver's Signature
Date Signed

MonthDayYear
Date
Do you receive SNAP/Medicaid
Mechanics of Faith helps anyone in need that meets our guidelines regardless of race/ ethnicity, religion, or gender.

Driver Information