Vehicle Drop-Off Form Your Name (required) Phone number (required) Email (required) Address (required) City (required) State (required) Zip Code (required) Vehicle Year (required) 202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990 Vehicle Make (required) ---AcuraAlfa RomeoAudiBMWBuickCadillacChevroletChryslerDodgeFordGMCHondaHyundaiInfinitiJaguarJeepKiaLexusLincolnMazdaMercedes-BenzMercuryMiniMitsubishiNissanPontiacPorscheRamSaabScionSubaruTeslaToyotaVolkswagenVolvoOther Vehicle Model (required) Vehicle Color (required) What brings you in today? Change oil and oil filterVibration or noiseTire rotation/mounting and balancingFactory Scheduled MaintenanceTransmission service or diagnosisCompression or Cylinder Leakdown TestBrake service or diagnosisAftermarket install or fabrication (subject to rate change)Pre-Dyno or Pre-trip inspectionTuningCheck Engine light onOther (please list below) Other Services Needed/Description of Problem: WORK AUTHORIZATION I hereby authorize Six Star Service and Performance Fabrication, LLC to make necessary repairs in accordance with its written estimate referenced above. The estimate of repairs includes parts, labor, and diagnosis. Parts prices quoted are current but are subject to change upon notice by the manufacturer. I hereby authorize employees of the repair shop to operate my vehicle for the purpose of testing, inspection, or delivery. I understand that it is my responsibility to remove personal belongings from my vehicle prior to repairs, and I will not hold the repair shop or its employees responsible for loss or damage to the vehicle or articles of personal property left in the vehicle, regardless of value, in case of fire, theft, accident or any other cause. Any warranties on the product sold hereby are those made by the manufacturer. The seller hereby expressly disclaims all warranties, either expressed or implied, including any implied warranty of merchantability for a particular purpose, and the seller neither assumes nor authorizes any other person to assume for it any liability in connection with the sale of said products. All performance and aftermarket products are sold and intended for OFF ROAD USE ONLY and are solely for racing applications. Six Star Service and Performance Fabrication, LLC or its actors hold no responsibility for mechanical, electrical or any other failure when using any aftermarket performance products and hold no responsibility for any consequences, legal or otherwise related to the use or misuse of performance and off-road only parts. Labor and service are only rendered if an installation issue is identified, otherwise, all labor for the removal and replacement of said product is charged based on the previously invoiced rate. Vehicles not picked up 3 days after services are rendered are subject to a $25 per day storage fee. Old parts. purchased parts or supplies not picked up after 7 days are disposed of or otherwise become the property of Six Star Service and Performance Fabrication, LLC. Estimates are subject to change without notice and may deviate by up to 10% or more depending on additional vehicle requirements, parts and service availability, and other unforeseen expenses. A 50% Down Payment of the original estimate is required for work to begin unless specified otherwise. By agreeing to the estimate and providing down payment you are agreeing to these terms and additional expenditure if required. All engine purchases are non-refundable. All deposits and payments towards service and parts are non-refundable. PAYMENT AUTHORIZATION I hereby authorize any and all supplements for repairs made to my vehicle to be paid directly to Six Star Service and Performance Fabrication, LLC. I do hereby appoint Six Star Service and performance Fabrication, LLC as my attorney, in fact, to accept on my behalf any and all checks, drafts, or bills of exchange and to endorse all such checks, drafts, or bills for deposit as a credit on my account for repairs on my vehicle. I understand that I am responsible for any deductible, adjustment for depreciation and/or betterment amounts, or failure of my insurance company to pay other labor, part, or material costs necessary to restore my vehicle to its pre-accident condition as required by state law. Unless other arrangements are made, the total amount of the repair charges must be paid in full before the vehicle will be released for delivery. To secure payment in the number of repairs hereto, An express mechanic’s lien is acknowledged, and I further agree to pay reasonable attorney’s fees and court costs in the event that legal action is necessary to enforce this contract. I acknowledge that I have read, and do hereby accept the terms and conditions contained in this Online Consent Agreement.