By signing below, the customer agrees that the approximate value and description of the item listed in this repair form are correct to the best of his or her knowledge. The customer also agrees that the item
is submitted to HUBERT's office for repair only. HUBERT will not act as an insurer of the item listed in this
form. HUBERT will repair or replace any article that is lost, stolen, or damaged due to their negligence, up to the value declared in this form. If no value is listed, it will be assumed to be less than $100.00. The customer will pay for the returned shipping (which will be insured to the amount of the declared value or assumed value), even if the estimate is not approved. HUBERT Inc. will not be responsible for any items left for over 90 days. By shipping the item the customer accepts Hubert's terms and conditions.