**ALL CHARGES MUST BE PAID IN FULL BEFORE THE VEHICLE IS RELEASED**

ACCEPTABLE FORMS OF PAYMENT

Properly endorsed insurance drafts, Money Order, Cash, Personal Checks

Cashiers Check, MasterCard, VISA, Discover, American Express

AUTHORIZATION FOR REPAIR

I hereby authorize Blue Ribbon Auto Collision Center to complete the repairs listed on RO#                  .

I understand the payment in full will be due upon release of the vehicle, including any supplement charges. I hereby grant you and/or your employees permission to operate my vehicle on streets, highways, or elsewhere for the purposes of testing, inspection or sublet repairs, and delivery or pick up. An Express Mechanics Lien is hereby acknowledged on above vehicle to secure the amount of repairs thereto. I Will Not Hold Blue Ribbon Auto Collision Center Responsible For Loss Or Damage To Vehicle Or articles Left In Vehicle in case of fire, theft, accident, or any other cause beyond their control. I authorize any and all supplements to be paid directly to Blue Ribbon Auto Collision Center.

Power of Attorney: For consideration of repairs made to this vehicle I hereby grant my Power of Attorney to sign or endorse any checks and/or drafts made payable to me, and release thereto, as settlement for my claim or damage to my vehicle.

I have REMOVED ALL UNATTACHED PERSONAL AND VALUABLE ARTICLES from said vehicle.

AUTHORIZATION/ ACCEPTED BY:                                                             DATE:                     

NOTICE PURSUANT TO SECTION 70.001, TEXAS PROPERTY CODE

I am the person or agent acting on behalf of the person, who is obligated to pay for the repairs of the motor vehicle herein described. I understand that this vehicle is subject to repossession in accordance with Section 9.503, Texas Business & Commerce Code, if a written order to payment of repairs of the vehicle is stopped, dishonored because of insufficient funds, no funds, or because the drawer or maker of the order has no account or the account on which it is drawn has been closed.

ACKNOWLEDGED/ ACCEPTED BY:                                                            DATE:                     

Site Best Viewed at 1024X768 

© 2005 Blue Ribbon Auto Collision Center All Rights Reserved.

This site is designed and maintained by