Service quotation

This form must be attached to the outside of your box, inside a zip-lock bag or document sleeve. You may fill this form in on line and then print it so all your information is legible. Ship to:

Southern Charm
6240 105th Terrace
Pinellas Park, FL 33782

*Full Name

*Address

*City
*State *Zip Code
*Telephone Cell Phone Fax
*e-mail address
Model Number 1 Model Number 2
Description of problem

NOTE: Approximate costs for repairs if there is no damage to interior parts or scored shafts; **Helm Series: H-20, H-50, H60, H-80 $190.00
**H-40, Capilano $350.00... **Cylinders; Aluminum $190.00...Brass $350.00

*Signature______________________________________________

CUSTOMER SIGNATURE REQUIRED BEFORE WORK CAN BEGIN

Please indicate in your description, "SR" Number and the verbal quote you received;
( ie: SR4646, spoke to Pat, price not to exceed $200.00 unless I am contacted, unit only turns one direction)

NOTE: You are entitled to a price estimate for the repairs you authorize if you request the estimate before the repairs are begun. This price estimate will not be exceeded if the item to be repaired is delivered to the shop within 10 business days.

After the item to be repaired is delivered to the shop, the repair price may be less than the estimate but will not exceed the estimate without your permission.

Your signature on the repair order will indicate your authorization of repairs at the price estimated.

Our turn-around time on repairs is usually less than three days, but may be more depending on whether non-stock parts are needed and our shop schedule.