Vehicle Recovery Form - M Mecanique 360 Ste-Julie votre Mecano 360

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Vehicle Recovery Form

Vehicle Pick-up Form

By filling out this form, you give us permission to recover/deliver your vehicle to your home or workplace.

Full Name

Phone Number

Email

Required Date

Vehicle Recovery/Delivery Address

Postal Code

Additional Information (Parking spot number, garage door code, guard booth code, etc.)

Vehicle Make

Model

Year

Color

License Plate Number

Key Location

I authorize Mécanique 360/Map Offroad de Ste-Julie to use my vehicle and adjust seats and mirrors for driver safety. Required*

I consent

I agree that vehicle recoveries are scheduled between 7:30-10:30 in the morning and returns are between 14:30-17:30. Required*

I consent

I agree that my vehicle must have at least a quarter tank of fuel for transportation purposes. (Otherwise, I agree to pay a refueling fee of $35.00) Required*

I consent