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Repair Order

Repair Order / Direction of Payment. Complete and sign below — your submission goes straight to the office.

The Ding Xpert LLC

Dallas–Fort Worth Area, TX · (469) 400-0322

Lifetime Warranty

Repair Order / Direction of Payment

Customer Information

Vehicle Information

Insurance Information

Authorization

I authorize for this to serve as my direction of pay and grant The Ding Xpert LLC permission to get paid for repairs. I agree that The Ding Xpert LLC is not responsible for loss or damage to this vehicle and/or articles left in the vehicle due to fire, theft, or any other causes beyond its control. I authorize The Ding Xpert LLC to operate the vehicle for testing and/or inspection. I acknowledge that if closer analysis reveals additional repairs are necessary, either I or my insurance company will be contacted for authorization. The total amount of repair charges must be paid before the vehicle can be released. I authorize any and all supplements payable to The Ding Xpert LLC. I authorize The Ding Xpert LLC to use photos and videos of my vehicle for marketing purposes.

Customer Signature

Sign below using your finger or mouse

Submission goes directly to The Ding Xpert LLC office