Customer Name Time Required Date Required
[your-name] [timerequired] [DateRequired]
Email Address Phone
[your-email] [your-address] [your-phone]
Cell No Model Registration
[your-cell] [model] [reg-no]
Odometer Chassis No Payment Options
[odometer] [chassis-no] [PaymentOptions]

Customer’s Instructions

1. 6.
2. 7.
3. 8.
4. 9.
5. 10.

Damages

Work Carried Out

Work Time On / Off
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

Parts

Part Price Part Number Part Price Part Number

Conditions of Contract

  1. I acknowledge that all vehicles and content are left in your custody, parked stored and driven at owner’s risk and that you shall not be liable or responsible in any way – losses or damages of whatsoever nature, and however caused, including loss or damage caused by the negligence of your servants, employees or agents or any other person.
  2. I authorize you to carry out the work listed above at my expense and to replace and supply such parts and materials including oils and petrols which may be necessary to complete the work set out above.
  3. A minimum charge of half an hours labour will apply.
  4. Vehicles not collected will be stored overnight at a fee of R200 per night.

 

STORAGE CHARGED AT R200 PER NIGHT