Damage Waiver Form
Full Name
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First Name
Last Name
Consent
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Quick Auto Transport LLC appreciates your business: if you have any questions regarding your invoice, please contact us at (815) 531-2638. I have been advised that my vehicle may be damaged if winched, towed, unlocked, jump-started, tire changed, or left on unattended premises. I recognize the difficulty involved, and I agree not to hold Quick Auto Transport LLC responsible for such damages should it result. I, the undersigned, do hereby certify that I am legally authorized and entitled to take possession of the vehicle described and all personal property therein. I have received the vehicle and all personal property in satisfactory condition. Credit Card Disclaimer: By Signing the invoice/form above, you authorize Ultimate Towing and Recovery Inc. to debit your credit card for the amount above and credit card fees. signing the above form makes you responsible for all charges. If you dispute this charge, you will pay all applicable fees that may be charged to our company! All credit or debit card information Is provided on the invoice/form.
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