Home  •  When using the Woodard Automotive early morning or late evening drop-off service:

1. Complete the following information, and then Print and Sign this form.

2. Leave your LOCKED car on our lot at 18 Short Street, Fredericksburg, Virginia 22405
3.
Place your keys and this SIGNED form in the envelope provided in our Drop Box beside our Entrance Door.


Contact Information:
Vehicle Information:
Name:
Year:
Address:
Make/Model:
City: Zip:
Color:
State:
License Number:
Home Phone:
Mileage:
Business Phone:
Pickup Day/Time: AM PM
Email Address:

Check the service(s) you want performed:

Mile Inspection Mile Diagnosis
State Inspection
Replace Clutch
Chassis Lubrication
Change Engine Oil
Change Oil Filter
Change Transmission Fluid
Repack Front Wheel Bearings
Tune Engine
Replace Brakes
Replace Muffler
Adjust Brakes
Replace Belts
Replace Hose
New Battery
Inspect/Repair Air Conditioning
Inspect/Repair Heating System
Replace Shocks
Check Transmission
Replace Radiator
Repair Lights
Oil Leaks – Front
Oil Leaks – Rear
Replace Tires: All Four Front Rear Other:
Other Work or Additional Information:

I hereby authorize the above repair work to be done along with the necessary material, and hereby grant you and/or your employees permission to operate the vehicle herein described on streets, highways or elsewhere for the purpose of testing and/or inspection. An express mechanic's lien is hereby acknowledged on above vehicle to secure the amount of repairs thereto. Dealer not responsible for unavailability of parts or delays in parts shipments beyond dealers control nor loss or damage to vehicle or articles left in vehicle in case of fire, theft or any other cause beyond our control. All work cash unless prior arrangements made.

Please Sign Here: __________________________      Date:___________________________