GRANBURY COLLISION CENTER LLC
Authorization And Direction To Pay
Vehicle:____________________________________
VIN:_______________________________________
**PART PRICES SUBJECT TO INVOICE**
    I do hereby authoize Granbury Collision Center to make repairs to my vehicle. I grant Granbury Collision Center employees permission to operate the vehicle herein described on streets, highways, or elsewhere for the purpose of testing and/or inspection. I understand that payment in full will be due upon release of vehicle, including additional supplemental damage charges and that the express mechanic's lien is hereby acknowledged on above vehicle to secure the amount of the repairs there to. I further agree to pay reasonable attorney fees and court costs in the event that legal action becomes necessary to enforce this contract. Granbury Collision Center will not be held responsible for loss or damage to vehicle or articles left in the vehicle in case of fire, theft, accident, or any acts of God or situation beyond their control. Old parts removed from vehicle will be disposed of unless otherwise instructed. I authorize any and all supplemental payments to be paid directly to Granbury Collision Center. I authorize Granbury Collision Center to act as power of attorney to sign insurance checks to pay for damages to the above vehicle.
  If the vehicle is removed without repairs, I acknowledge that I may be held responsible for applicable diagnoisis, tear down, storage and/or towing charges. I understand that my final repair order may differ from an estiamte received  from my insurance company and/or the original estimate written by Granbury Collision Center to repair my vehicle where repair is feasible and to utilize factory, aftermarket, or used parts when replacement is necessary. Any vehicle left five (5) days after repairs are completed will be charged and additonal storage fee of $50.00 per day. I give Granbury Collision Center authorization to post before and after photos of my repair to their Google and/or Yelp business page. 
PLEASE NOTE ANY ADDITIONAL REPAIRS NEEDED OR COMMENTS BELOW:_________________________________________________________________ _________________________________________________________________
PRINT NAME:___________________________________ DATE:_____________
AUTHORZIED SIGNATURE:___________________________________________
ADDRESS:________________________________CITY:_____________ZIP:_____
EMAIL:____________________________________PHONE:_________________
DO YOU HAVE A DEDUCTIBLE? ARE YOU AWARE OF HOW MUCH IT IS? $_____
HOW WOULD YOU LIKE TO CONTACTE?:   EMAIL______ OR BY PHONE:______
FORMS OF PAYMENT: CASH, CREDIT/DEBIT CARD (4% CHARGE FEE), NO PERSONAL CHECKS