Get A Grip Cycles Service Form

Get A Grip Cycles - Chicago

773-427-4747 Irving Pro Shop

312-627-1701 Fulton Fit Studio

Get A Grip Cycles Service Form

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Customer Information

Ticket Number

146073
DateTime

03/01/2012
Full Name

Adam Herndon
Last Name

Herndon
Status

DROPPED OFF
Drop-off Location

Irving Park
Address
City
State
Zip Code

0
Email

adamdherndon@gmail.com
Phone 1

773-412-1927
Phone 2
Preferred Method Contact

Day (Cell) Phone
Club Affiliations

XXX
Calendar Name
Percent Discount

20%
Fixed Discount

0
Email Reminder

Select Bike or Wheel Service

Bike or Wheel Service

Wheel Service

Bicycle Info

Bike Service
Bike Brand
Bike Model
Bike Color
Wheel Size
Accessories on Bike

Wheel Info

Wheel Service
Tire Position
Tire Brand

Bontrager Race X Lite Aero
Tire/Tube Mounted?

No
Cassette Installed?

No
Hook Number

12

Repair Instructions

Service

Tubular Install
Notes

Plus cost of glue
Labor

$0.00

Additional Instructions

Service

Install
Notes

Vittoria Corsa Evo CX 700x23
Parts

$120.00
Labor

$50.00

Service

Install
Notes

Vittoria Corsa Evo CX 700x23
Parts

$120.00
Labor

$50.00

Repair Info

Dropoff Date

03-01-2012
Save Old Parts?

Yes
Estimate By

Jeff Brown
Repair Sign Off
Repair Sign-Off Date
Promised by Date

03-09-2012 00:00
Pickup Location

Irving Park

Billing

Estimated Parts Subtotal

$240.00
Estimated Labor Subtotal

$100.00
Percent Discount

.20
Fixed Dollar Discount

$0.00
Total Discount

-$24.00
Subtotal

$272.00
Estimated Tax

$22.80
Estimated Total

$294.80
Click here if Repair Ticket is Final