Eastern Auto Works

Vehicle Repair Agreement

Direction of Pay Authorization

Eastern Auto Works

2940 Old Route 50

Cambridge, MD 21613

Phone: 443-521-9655 / Fax: 443-225-6584

Customer Information

Vehicle Information

Customer Signature *

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Electronic Signature Acknowledgment: By signing above and typing my name, I acknowledge that this electronic signature is legally binding and has the same legal effect as a handwritten signature. I consent to conduct this transaction electronically.

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