Fill and Sign the Invoice Agreement Form

Work Order Invoice and Agreement between Locksmith and Customer ________________________________________ (Name of Locksmith) _____________________________________________________ (City, State, Zip Code) _______________________________ (Phone Number) _____________________________________________ (Name of Customer) _______________________________________________________________________________ (Address of Customer) ________________________________________________ Date: __________________________ ______________________________________________________________________ Location of Vehicle Make ________________________ Model ___________________ Year ____________ Driver’s License No .________________________ Date of Birth ________________________ Tag Number ____________________ Customer shall initial which of the below is applicable: ________ Need re-keying and agree to charge of $________________. ________ Am locked out of car and need car unlocked; I agree to charge of $ ________ 1 ________ Windows have been rolled up and down and work is satisfactory. ________ If cash payment of charge is not made at site, locksmith will follow customer to bank or ATM for payment, but charge of $5.00 will be made after ______ minutes and an additional charge of ______ per minute will be made thereafter. The undersigned agrees to the above on this _______________________________ (date) . ________________________________ Customer _________ By placing my initials to the left, I acknowledge that all of the above work was satisfactorily done. 1 Service charge of $____________ will also be charged.