E.C.Drury Auto Shop Repair Order

Please provide the following Customer information:
Service Writer (Student Name)
Owner's Name
Street Address
City
Owner's Declaration I understand that the repair or service will be performed by students under the supervision of a qualified instructor, holding a valid Certificate of Qualification under MET.

I further understand that E.C.Drury HighSchool will not be held responsible for any loss or damage to said vehicle.

I agree to pay for all parts necessary to repair the vehicle.
Owner's Signature and date
Work Phone
Home Phone
Fax or E-Mail

VEHICLE INFORMATION

Please provide Customer's Vehicle Info.
Odometer Reading        
Make:  

  Year:  

20 (e.g. 01)

19 (e.g. 99)
Model:      VIN#  
Manufact. Date:     Type:  
Number of Doors:      Air   

VEHICLE ENGINE

Please provide the Engine Information.
           
# of Cylinders: 

  Engine Size:

Fuel Type:    Fuel Delivery:    

DRIVE TRAIN

Please provide the Drive Train Information.
           
Drive Type:  

  Transmission: 

 
Number of Speeds:   Steering:   
All Wheel Steering: No,  Yes   Shifter:  

Body

  * Are there any safety related items that should be brought to the attention of the instructor?
Car Style: Horn Parking Brake Gear Indicator Other Specify Other
Truck Only Options  
Truck Style: 
Wheel Base:  Long, Short
Cab:  
Truck Bed: 

Service Repairs Requested
Please enter Customer Complaints and Requested Repairs

Parts Request Information

Please enter your parts request and any other comments below. Please be as detailed as possible,
including any identifying part numbers and marks where applicable.