Pine State Pedals

Midcoast Maine Electric Mobility Solutions

Estimate · Work Order

Estimate & Work Order

Estimate #

Date

Valid until

Customer

Email / phone

Make / Model

Serial #

Reported problem / customer concern

Proposed Labor$0.00

DescriptionHoursRateAmount

+ Add labor line

Estimated Parts$0.00

DescriptionQtyUnit priceAmount

+ Add parts line

Estimated subtotal$0.00

Tax (%)$0.00

Apply tax to labor too

Estimated total$0.00

Authorized — not to exceed

Authorization to perform work

I authorize Pine State Pedals to perform the work described above on the e-bike / trike identified. This is a good-faith estimate; actual cost may vary. I understand Pine State Pedals will contact me for approval before exceeding the authorized "not-to-exceed" amount. Parts removed are discarded unless I request their return. This estimate is valid for 30 days.

I have read and authorize the work above, up to the not-to-exceed amount.

Customer signature (type full name)

Date authorized

Approved by (PSP)

Notes / terms

Questions about your estimate? Call (207) 218-4001 Veteran-owned · Appointment-based · Midcoast Maine