Please read carefully, check one of the statements below, and sign:
I understand that, under state law, I am entitled to a written estimate if my final bill will exceed $100.
____ I request a written estimate.
____ I do not request a written estimate as long as the repair costs do not exceed $____________. ". The shop may not exceed this amount without my written or oral approval.
____ I do not request a written estimate.

Signed: __________________________________ Date: ______________