Release Form

First Name

Last Name

Phone

Work Phone:

Your Address:

Address

Address Line 2

City

Zip

Please upload a copy of your government issued ID

Upload

or Drag and Drop a File

Vehicle Information:

Year, Make, Model, VIN#, Plate#

I verify that all of the information is accurate.

I understand that I will be required to provide a valid driver's license.

I am the registered owner of the said vehicle and do hereby give Legacy Towing permission to release my vehicle to the following business:

Business Name:

I agree to the Terms and Conditions.

First Name

Middle Initial

Last Name

By clicking the above button, I consent to be contacted by Legacy Towing and Webit, Inc. at any email address or telephone number I provide, including, without limitation, communications sent via text message to my cell phone or communications sent using an autodialer or prerecorded message. This acknowledgement constitutes my written consent to receive such communications. I agree and consent to any applicable Terms and Conditions of Use or Privacy Policy available on this website.

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