AVERAGE ARRIVAL TIME = 14 mins
ON THE ROAD 24 / 7 / 365
Car Make & Model
Year
Color
Lic. Plate
VIN#
Date and Time
First Name
Last Name
Street Address and Postal Code
City
Phone Number
Email Address
Reason for Tow
Pickup Address
Drop-Off Address
Call Number
Fees Standard Collision TowFlatbed Collision TowNon Collision TowWinch/RecoveryUpright Overturned VehicleVehicle StorageRe-Tow From CRCSecond Vehicle To Assist
Police/ByLaw Tow
Commercial/Contract Tow
Wait Time At CRC
Mileage over 20kms
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
