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Towing Reciepts

Scofield's Towing Inc. provides a form for documenting towing and roadside assistance services. The form includes fields to record the date, time, driver information, vehicle description, locations, services provided, charges, and customer acceptance of payment terms. The customer agrees to pay listed charges for services rendered minus any accepted coverage and that the vehicle will be held if charges are not paid in full.

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ronscofield
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519 views1 page

Towing Reciepts

Scofield's Towing Inc. provides a form for documenting towing and roadside assistance services. The form includes fields to record the date, time, driver information, vehicle description, locations, services provided, charges, and customer acceptance of payment terms. The customer agrees to pay listed charges for services rendered minus any accepted coverage and that the vehicle will be held if charges are not paid in full.

Uploaded by

ronscofield
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLS, PDF, TXT or read online on Scribd
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Scofield's Towing Inc.

Service Provider# 608-921-0726 Driver /


Date / Time / AM / PM / ETA /
Club /ect./ Membership #
PO#ect. Coverage limit /
Vehicle Description /
Located at /

Deliver to /

Passengers / 1 / 2 / $
Miles to / / minus miles/ actual / $
Miles loaded / / minus miles/ actual / $
Towing / Load up, Unload Charge $
Jump start / Unlock / Fuel / Flat / Air / GOA / wheel-lift / $
Winch / Time on job by the 1/2 hour min. $
Waiting on Police / Report # $
Clean up accident scene / Time / $
Extra Equip. / Skates / Dollies / Boards / Soap / $
Administrative Fee / Storage fee/ $
I agree to hold Scofield's Towing Inc. & its employee's Subtotal $
harmless for any damage's due to services rendered,
and will pay the listed charges for services rendered, Tax $
minus any accepted motorclub coverage, in full at that
time, before vehicle is unloaded, or vehicle will be held Total $
for listed charges, plus storage charges, that may Payment is cash,
accrue, & charges of theft of services will be filed. This MasterCard, & Visa
must be signed before work will start. only.
Accepted by: Customer /

Phone #
Address / State
Vehicle Lic. # State
Driver Lic.# State
Vin #

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