Property Details:
Property Name Address (required) City Vancouver Contact Name (required) Title Phone# (required) Cell# Email (required)
Authorized Callers List: (If you have more than 6 callers please use a PIN# or Password)
PIN/PasswordAuthorized Callers
Authorized caller #1 Name Position Phone Authorized caller #2 Name Position Phone Authorized caller #3 Name Position Phone Authorized caller #4 Name Position Phone Authorized caller #5 Name Position Phone Authorized caller #6 Name Position Phone
Sign Options & Pricing • Plastic Signs: $25.00 per sign • Metal Signs: $75.00 per sign plus applicable taxes If self installation is selected, signage may be collected at: 425 Industrial Ave, Vancouver, BC
Installation Fees • Installation of six (6) signs or fewer: $75.00 service call fee • Installation of more than six (6) signs: $125.00 service call fee Additional fees may apply for special installation requirements.
Please indicate how many signs are required:
Plastic: Metal:
If you require signs, please indicate your preference. Professional Installation by BustersPickup and Self Installation
• Busters Towing reserves the right, at its sole discretion, to refuse impoundment of uninsured vehicles. Certain uninsured vehicles may be accepted subject to payment of an upfront administrative fee.
• The property owner or authorized representative is responsible for ensuring that all information provided in this form is accurate and current. Any changes to authorized callers, contact information, or property details must be provided to Busters Towing in writing without delay.
• Signage supplied by Busters Towing must remain on the property listed above and may not be relocated to municipal or other unauthorized property.
• The property owner acknowledges that impound requests will only be accepted from individuals listed as authorized callers or verified via approved PIN or password.
• Busters Towing reserves the right to modify fees and policies upon reasonable notice.
For inquiries, contact: 604-681-8181 sales@busterstowing.com
Authorization
By signing below, the undersigned confirms that they are authorized to act on behalf of the property owner and agree to the terms outlined above.
Name
Signature
Date
