Shop Name:
Address:
Phone:
RO #:
Date:
Customer:
Phone:
Vehicle:
VIN:
Mileage:
| # | Description of Work | Hrs | Rate | Amount |
|---|---|---|---|---|
| 1 | ||||
| 2 | ||||
| 3 | ||||
| 4 | ||||
| 5 |
| # | Part Description | Part # | Qty | Unit Price | Amount |
|---|---|---|---|---|---|
| 1 | |||||
| 2 | |||||
| 3 | |||||
| 4 | |||||
| 5 |
| Labor Subtotal: | $________ |
| Parts Subtotal: | $________ |
| Shop Supplies: | $________ |
| Tax: | $________ |
| TOTAL: | $________ |
I authorize the above repairs and agree to pay the total amount upon completion. I understand that additional work may be required and will be contacted for authorization before proceeding.
Customer Signature: _______________________________ Date: ____________
Authorization Limit: $________ Contact Method: ____________