Vehicle Pick up Form - Richman Automotive & Towing

Your Information

Pick Up Address

Additional Information: (parking lot location, garage code, gate code etc.)

Vehicle Information

My vehicle is not listed in the form above.

Keys Location: (Please Place Keys Above The Visor) if placed differently please note here:

I give permission to allow Richman Automotive to operate my vehicle and move the seat & mirrors for the safety of the driver.*

I agree that pick up times are between 7:30AM - 10:30AM & Delivery Times are 2:30PM - 5:30PM*

Des Moines Auto Repair