SMC Towing Form - SMC Towing Group

SMC Towing Group Authorization To Tow

120 Bentley Ave Nepean, ON K2E 6T9
613-801-2476
Storage Facility: 120 Bentley Ave Nepean, ON K2E 6T9

info@scmtowing.ca

"*" indicates required fields

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Company

This field is for validation purposes and should be left unchanged.

Customer & Vehicle Information

Car Make & Model*

Year*

Color*

Lic. Plate*

VIN#*

Date and Time*

Name*

First Name Last Name

Address*

Street Address City Province Postal Code

Phone*

Email*

Reason for tow:*

Pickup Address:*

Drop-Off Address:*

FEES*

Standard Collision Tow ($425)

Collision Tow Incl. Winch/Recovery ($600)

Non Collision Tow (As Quoted)

Winch/Recovery ($175)

Upright Overturned Vehicle ($175)

Vehicle Storage ($95/Day)

Re-Tow From CRC ($300)

Second Vehicle To Assist ($180)

Wait Time At CRC $65/hour*

Mileage over 20kms $3.75/km*

NOTES FOR FEES:*

NOTE: I understand that the $73.91 security tow to safety will be included in the charges to my insurance company.

Key #*

Truck Operator Name*

TSSEA License Number*

Truck Operator Signature*

Date*

Customer Name*

Customer Signature*

Date

SMC Towing Group Authorization To Tow

Customer & Vehicle Information

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