DIRECTION OF PAYMENT FORM DUKE CITY AUTO BODY 121 TENNESSEE ST. NE ALBUQUERQUE, NM 87108 OFFICE# 505-916-1536 Your name Your email Your Phone Number DATE: I, HEREBY AUTHORIZE DIRECT PAYMENT FOR REPAIRS ON MY BELOW MENTIONED VEHICLE TO BE MADE DIRECTLY TO: SHOP NAME-DUKE CITY AUTO BODY PHONE# 505-916-1536 FAX#206-339-4711 YR MAKE PLATE# MILEAGE CLAIM OR FILE# DATE OF LOSS MODEL COLOR VIN# INSURANCE CO. ADJUSTER VEHICLE OWNER SIGNATURE AN ETA WILL BE PROVIDED FOR ALL VEHICLES. PLEASE KNOW THAT THIS IS ONLY A TARGET DATE. OUR COMPANY STRIVES FOR QUALITY WORK THEREFOR IF THERE ARE ANY DELAYS IN THE COMPLETION OF YOUR VEHICLE WE WILL COMMUNICATE IT PROMPTLY. IF BUMPERS ARE BEING PAINTED, THERE WILL NEVER BE AN EXACT COLOR MATCH. WE WILL ENSURE TO MATCH IT TO THE BEST OF OUR ABILITY ACCORDING TO THE ADJOINING PANEL. THERE MAY HAVE BEEN PREVIOUS PAINT TO THE CAR THAT WE HAVE NO CONTROL OVER.
English 