Towing Form - Canadian Towing Ottawa

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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*

Time*

:

Name*

First Name Last Name

Address*

Street Address City Province Postal Code

Phone*

Email*

Reason for tow:*

Pickup Address:*

Drop-Off Address:*

Wait Time At CRC $60/hour*

Mileage over 20kms $3.35/km*

NOTES FOR FEES:*

NOTE: I understand that the $72.50 security tow to safety will be included in the charges to my insurance company.

Key #*

Truck Operator Name*

Truck Operator Signature*

Date*

Customer Name*

Customer Signature*

Date