4. Application form

Application form

Please write an email containing information below and send it to trustyautoservice@gmail.com and your email subject title should be Application for charity repair

If you’re not comfortable sending your personal information through email then you may just make an appointment through email or phone.

Applicant’s information

• Reg.#(if you are registered in Trusty Auto Service):
• First name:
• Last name:
• Age bracket(e.g. mid forties – not mandatory ):
• Phone(Home):
• Phone(Cell):
• Address:
  a

Vehicle information

• Make:
• Model:
• Model year:
• Engine size:        L
• Mileage:               km

Describe concern(s) on the vehicle – Applicable only when you take the Application Procedure B

• Symptom(s)(e.g. engine stall or brake squealing, etc.)
• When the symptom(s) first started:
• Describe your vehicle issue(s) in detail:
• Availability of the repair quotes made by other shop: Yes/No, please attach a copy of it if available.
• Reason(s) why you need the Charity Repair: