BOOKING FORM & LIABILITY WAIVER
CUSTOMER INFORMATION
Full Name:
First Name
Last Name
Phone Number:
Format: (000) 000-0000.
Email Address:
example@example.com
Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
VEHICLE INFORMATION
Year:
Make:
Model:
Color:
VEHICLE CONDITION CHECKLIST
Please take a moment to review and check any pre-existing conditions.
Pre-existing conditions
Scratches
Dents / Dings
Paint Chips
Cracks (Glass)
Curb Rash
Interior Stains
Tears / Rips
Pet Hair
Odor
Other:
Additional Notes / Existing Damage:
SERVICE SELECTION
Please select the services you would like:
COMPLETE DETAIL PACKAGES
Complete Detail Packages
Interior Hustle Package
Interior Restoration Detail
Express Detail
Complete Detail Package
ADD-ON SERVICES
Interior Services
Deep Vacuum Interior
Steam Clean
Shampoo Seats / Carpets
Leather Cleaning & Conditioning
Interior Odor Elimination
Per Hair Removal
Seatbelt Cleaning
Exterior Services
Hand Wash & Dry
Clay Bar Treatment
Wax / Paint Sealant
Tire Shine & Wheel Cleaning
Engine Bay Cleaning
Type option 6
SERVICE NOTES / SPECIAL REQUESTS
APPOINTMENT DETAILS
Preferred Date:
-
Month
-
Day
Year
Date
Preferred Time:
Hour Minutes
AM
PM
AM/PM Option
Location of Service:
Home
Work
Other:
Payment Method:
Cash
Card
Mobile Payment
Other:
LIABILITY WAIVER & RELEASE OF RESPONSIBILITY
I, the undersigned, hereby authorize Hutsell's Attention to Detail to perform the requested services on the vehicle described above. I acknowledge that detailing involves the use of chemicals, equipment, and techniques that may affect the condition of the vehicle. By signing below, I agree to the following: • I am the owner or authorized representative of the vehicle. • I have disclosed any known damages or concerns about the vehicle. • Hutsell's Attention to Detail is not responsible for pre-existing damage. mechanical issues, or failure of existing paint, trim, or interior materials. • Hutsell's Attention to Detail is not liable for items left in the vehicle. Please remove all personal belongings. • I understand that results may vary based on the condition and age of the vehicle. • I release and hold harmless Hutsell's Attention to Detail, its owner, employees, and affiliates from any and all liability for loss, damage, or injury that may occur during or after the detailing service, except in the case of gross negligence or willful misconduct. I have read and understand this waiver and agree to its terms.
Customer Signature:
Date:
-
Month
-
Day
Year
Date
Printed Name:
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