PAYMENT | 30 Minute Towing

TERMS & CONDITIONS- AGREEMENT:

This is a 2-Page verification form. Please make sure the name on the payment card EXACTLY matches the name on your provided ID.

Date

First name

Last name

Email

Service Price:

$

Please upload a Copy of Photo ID

I agree to the Terms & Agreements to receive service.

Would you like to apply either 1 month or 1 Year of Roadside Assistance Coverage at this ONE-TIME discounted rate for this vehicle? (optional)

1 Month Roadside Assurance Coverage$29

1 Year Roadside Assurance Coverage$99

Roadside Assurance Plan Terms & Conditions:
- Private Vehicles
- Commercial (Fleet) Vehicles

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30 Minute Towing