Don Jacobs Drop-Off Form

After Hours Drop-Off Form

Check services you need:

My signature authorizes Don Jacobs, Inc. to complete the repairs listed above, without further notification unless the cost of the parts and service exceeds:

I hereby authorize the above repair work to be done along with the necessary material, and hereby grant you and/or your employees permission to operate the vehicle herein described on streets, highways or elsewhere for the purpose of testing and/or inspection. An express mechanic’s lein is hereby acknowledged on above vehicle to secure the amount of repairs thereto. Dealer not responsible for unavailability of parts or delays in parts shipments beyond dealer’s control nor for loss or damage to vehicle or articles left in vehicle in case of fire, theft or any other cause beyond our control. Storage charges of $25 per day will be assessed if 1.) customer fails to pick-up vehicle within (5) days of completed repair OR 2.) failure to approve repairs or pick-up vehicle within (5) days of notification of estimate.

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All tax, title and vehicle registration fees are additional. See dealer for complete details.