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Tow In Authorization Form

Please list the name of the vehicle's owner or decision maker who we will need to contact regarding the vehicle going forward.

Please list the name of the vehicle's owner or decision maker who we will need to contact regarding the vehicle going forward.

Address :

Please add a "1" before the area code ( example : 1(916)000-0000 )

We highly suggest listing an email in the case that the links we send through text do not operate.

I prefer and authorize Two Rivers Auto Tech to contact me in the following way or ways :

Select one or more or all of the options that you authorize us to contact you by.

LISTING 1 OUT OF 3 OPTIONS IS REQUIRED, PLEASE ANSWER AT LEAST ONE.

Please do not leave out any concerns and list everything you can think of and remember.

With my signature down below, I authorize and give permission to Ammar from Two Rivers Towing to tow my vehicle from point A provided to Two Rivers Towing by insurance or by me, to 1514 Howe Ave, Suite #A, Sacramento, CA 95825. Two Rivers Auto Tech at this location is a repair shop. I understand that Two Rivers Auto Tech will contact me and provide me a price quote to approve before operating on or diagnosing my vehicle's issue. I understand that Two Rivers Auto Tech's Diagnostic fee is $180 and I agree and understand that if it is anything more than $180, Two Rivers Auto Tech will contact me to gain my approval and authorization before acting on anything. I understand that Two Rivers Auto Tech will also provide me a copy of this form after I submit it and they receive the submission.

Date and time
Month
Day
Year
Time
HoursMinutes

Signature of the person who filled this form out.

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