2511 W Main Street
Troy, OH 45373
937-335-CARS (2277)
jay@335-CARS.com

Auto Repair Customer Information Form

It is our goal to make this the most comfortable and rewarding experience you'll ever have at an automobile repair facility. In order to tailor our service to your specific needs, please take a few moments to complete the following questionnaire.

* Required

Contact Information

Please specify your full name (Include Jr. or Sr. if applicable).

First Name*
Last Name*

Spouse's First Name
(if applicable)

Spouse's Last Name
(if applicable)

Address*

City/State/Zip*

Home Phone:*

Work Phone:

Mobile Phone:

Email Address(we will keep it completely private)

Preferred Method of Contact:

How did you hear about Trojan Auto Care?

Explain:

What is the year, make & model of your vehicle?*

How is your vehicle driven?

Is there anything about your vehicle that does not work or anything about it we should know?*

Do you have an extended warranty on your vehicle?*

When was the last time someone serviced your vehicle & what did they do?*

I prefer to pay for automotive service by:*

Customer Signature (type your name here):*

Note: NO REPAIRS ARE DONE WITHOUT YOUR AUTHORIZATION (see below)

YOU HAVE AUTHORIZED US TO SERVICE YOUR AUTOMOBILE.

If we replace or repair it, we guarantee it, both parts and labor, for an unprecedented 2 years/unlimited mileage unless otherwise stated on the repair order (some exclusions apply). This guarantee starts from the date the work is completed and includes any defects in workmanship arising from repairs performed under the original invoice. It does not cover incidental or consequential losses such as towing, loss of earnings, per diem expenses, rental car expenses, or any other claims whatsoever. Trojan Auto Care's obligation under this guarantee is limited to replacing or repairing damaged and/or defective parts and labor incurred in the performance of that task. If Trojan Auto Care has not shown on your repair order that it specifically replaced or repaired an item, it is not covered under the guarantee. Any damage caused by neglect, abuse, misuse, or collision is not covered by this guarantee. This guarantee is non-transferable and limited to the customer listed on the repair order.

Shop supplies are those miscellaneous items that are used in our shop which are too numerous to list. A sample list is posted in our office. Also included are hazardous waste fees that we now have to pay. Any vehicle left seven (7) days after completion will be subject to storage charges and will be subject to sale after thirty (30) days. You have authorized us to drive your vehicle for test purposes. We cannot be responsible for personal items left in your vehicle. All repairs must be paid in full before your vehicle is delivered.

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Trojan Auto Care in Troy Ohio can service all your automotive repair needs.

2511 Main Street
Troy, Ohio 45373
Phone: 937-335-CARS (2277)
Email: jay@335-CARS.com