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914-762-2722
914-762-2722
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Hudson Valley Motorcycles
179 North Highland Ave.
Ossining
,
NY
10562
US
Phone:
914-762-2722
Email:
info@hvmotorcycles.com,duane@hvmotorcycles.com
Fax
:
914-762-4402
We currently have a waiting list for service pickups as we are very busy! We will contact you as soon as we have availability.
HVMC Authorization Form
Please complete and submit prior to pick up.
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Motorcycle Info
Motorcycle Make:
*
Motorcycle Year:
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Motorcycle Model:
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Motorcycle VIN:
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Can be found on your registration !
Work To be Performed:
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General overview of work you'd like performed on your machine
Are there any scratches on or damage to this motorcycle?
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Authorization
Transport Authorization:
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I hereby authorize Hudson Valley Motorcycles to transport my motorcycle. I acknowledge that all information provided above is accurate to the best of my knowledge.
Service Authorization:
*
I hereby authorize Hudson Valley Motorcycles (HVMC) to perform all requested repair work to be done along with necessary materials. HVMC and our employees may operate above vehicle for purposes of testing, inspection, or delivery at my risk. An express mechanics lien is acknowledged on above vehicle to secure the amount of repairs thereto. It is also understood that HVMC will not be held responsible for loss or damage to vehicle or articles left on / in vehicle in case of fire, theft, or any other cause beyond HVMC's control. A storage fee of $45 per day will be charged if vehicle is not picked up within 7 days of notification of completion.
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By entering your name in the box above, you are signing this agreement electronically. You agree your electronic signature is the legal equivalent of your manual signature on this agreement.
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