Completion and Direction to Pay Select a Location:*Performance Collision Morgantown, WVPerformance Collision Parsons, WVVEHICLE OWNER’S NAME*VEHICLE OWNER’S EMAIL* VEHICLE YEAR*VEHICLE MAKE*VEHICLE MODEL*I CERTIFY THAT REPAIRS HAVE BEEN COMPLETED AS INDICATED ON FINAL ESTIMATE AND RE AUTHORIZE DIRECT PAYMENT OF SUPPLEMENT TO PERFORMANCE AUTO BODY LLC WITH THE UNDERSTANDING THAT I WILL BE OBLIGATED FOR PAYMENT IF IT EXCEEDS 30 DAYS FROM BEING SUBMITTEDVehicle Owner*Date* Date Format: MM slash DD slash YYYY
