After hours drop off information - Print this page, fill out information and put inside envelope. Orange drop off box located between shop doors #2 and #3 for your keys and this form. Thank you for your business.

Roosevelt Laramie Service Center
708-652-6555

Name: Address:
City:  Zip:
Home Ph: Work Ph: Cell:
Year: Make: Model:
Color: License: Mileage:
  Lube Oil and filter   Transmission service
  Cabin Filter   Air filter
  Tune Up   Brakes
  Fuel Filter   Emission Diagnosis
  Exhaust/Muffler   Steering
  Suspension/Shocks   Tires
  Air conditioning   Cooling system
  Radiator Flush   Wheel Alignment
  Rotate tires   Differential service
Do you want the old parts??       Yes           No
Comments:__________________________________________________________
____________________________________________________________________
____________________________________________________________________
Not responsible for any personal items left in vehicle. I hereby authorize the 
above work to be done along with the necessary materials. You and your employees may operate the above vehicle for purposes of testing, inspection, diagnosis or delivery at my risk. An express mechanic's lien is acknowledged on the above vehicle to secure the amount of repairs thereto.
You will not be held responsible for loss or damage to vehicle or articles left in vehicle in case of fire, theft, accident or any other caused beyond your control.
Signed X:                                                           Date:

Payment terms: Cash, Visa, MasterCard, Discover, American Express