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Automotive Service Application and Agreement
All the information below must be filled out in order for keys to be made for your vehicle.
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Email
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Your email
Date:
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MM
/
DD
/
YYYY
Customer Name:
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Your answer
Customers Home Address:
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Your answer
Phone Number:
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Your answer
Make, Model, Year, Color and Vehicle Identification Number:
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Your answer
Service Address (where's the vehicle?):
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Your answer
Are you the registered owner of the vehicle?
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Yes
No
How will you be paying today?
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Cash
Credit/Debit Card
I agree to stay on site the entire time work is being performed.
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Yes
No
I agree to pay a lockout fee for unlocking the vehicle if the keys are found in the vehicle.
Yes
No
Clear selection
I agree to pay the quoted price at the time of the service.
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Yes
No
I am the owner of the vehicle.
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Yes
No
If not the owner, I am able to provide documentation to verify that I am authorized to have the vehicle's keys originated. For example: power of attorney, owners driver's license with a selfie and written permission etc.
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Yes
No
I am able to send photos of the owner's license and registration to Alpha Locksmith Service? (Please text document photos to 317.892.8029)
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Yes
No
The documents are locked in the vehicle. I understand that they must be provided upon the vehicle being unlocked. Keys will not be originated without the proper documents being present and photographed for our records.
Does the same key operate both the door locks and ignition?
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Yes
No
This vehicle is a proximity key or fobik that does not require a metal key for the ignition to be started.
Has anyone attempted to unlock, make keys or replace or modify the door locks or the ignition? This includes the owner, owner's associates, mechanic shop, locksmith or dealership. If so, please explain below.
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Your answer
Is the vehicle in good mechanical order? Does it have a charged battery, does the door locks and ignition function as it should (when keys are present)?
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Yes
No
I understand that the price quoted in an all keys lost situation is for a basic transponder key ONLY. This is a key without a remote (buttons) and is intended to get you back on the road as quickly as possible.
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Yes
No
I understand that if the required documentation cannot be text messaged (due to being locked in the vehicle) a non-refundable credit card deposit for the service call/lockout fee maybe required upfront. In the event that the documents are verified and the all keys lost service is performed, the deposit will be applied to the original quote.
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Yes
No
I understand if additional keys (more than 1) are requested during the all keys lost process, it will be an additional fee.
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Yes.
No
I understand that it may take up to 24 hours for this Application to be reviewed and approved. Upon approval an appointment will be scheduled.
Yes
No
Clear selection
If you require additional clarification to any of these questions, please don't hesitate to call. We're here to help. This process is designed to provide information so that we can accurately assess your needs and perform the job as quickly and efficiently as possible.
I have answered the questions above thoroughly and to the best of my knowledge. If there are errors or omissions, Alpha Locksmith Service LLC reserves the right to deny service.
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Yes
No
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