This field is for validation purposes and should be left unchanged.
I,
Name(Required)
, OWNER OF
WITH VIN#
HAVE HIRED CAREY MY KEYS TO MAKE A KEY FOR MY VEHICLE AND AUTHORIZE THEM TO RELEASE THE KEYS TO
Authorized person(Required)
THIS PERSON WILL BE ASKED TO PRESENT IDENTIFICATION

I WILL NOT HOLD CAREY MY KEYS RESPONSIBLE ONCE THEY HAVE DELIVERED THE KEYS TO THIS PERSON AND I AM STILL RESPONSIBLE FOR ALL THE WAIVERS SIGNED IN DURING THE KEY MAKING.

Customer Name(Required)
Clear Signature
MM slash DD slash YYYY