Auto and Diesel Work Agreement Listen "*" indicates required fields Customer First Name*Customer Last Name*Customer Address* Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Customer Phone*Customer Email* Vehicle Year*Vehicle Make*Vehicle Model*Customer Agreement* Please read the terms below and check the box to indicate that you agree to these terms and work to be performed. Vehicle repairs and/or work must have instructional value. Work is performed by students under the supervision of a qualified instructor. This is hands-on learning environment and work/projects will take more time, timelines will be set at college’s discretion. Repair bill MUST be paid before vehicle is released. Vehicle will remain in the shop or on NCC property until repair/work is completed. Parts purchased through NCC will have a mark-up to cover shipping and handling charges NCC will have a charge for miscellaneous parts/materials if supplied by customer for the repair. NO WARRANTY ON THE REPAIR PREFORMED OR EXPRESSED/IMPLIED. No returns will be accepted after parts and/or vehicle leaves the NCC shop areas. NCC is not responsible for loss or damage to vehicles or articles while on NCC property in case of fire, theft, or any other cause beyond our control. Repair Description*Customer Signature*By signing, I agree to the above terms and work to be performed.Your NameYour NameYour NameYour NameNCC Employees Only: I further agree that if any balance remains unpaid or if I leave employment at NCC before the balance is paid in full, the remaining amount may be deducted from my paycheck(s)).Internal Use OnlyStudent RO#Parts RO#CAPTCHA