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VEHICLE
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Please provide the year, make and model of your vehicle.
VIN #
VIN # is required if requesting the following services: Windshield Replacement, Lamp Bulb / Assy. Replacement, Brakes, Oil Changes
AUTO GLASS
Windshield Repair – Chip
Windshield Repair – Small Crack (<6")
Windshield Repair – Long Crack (6″ – 12″)
Windshield Replacement
LAMPS
Restoration – Headlamps
Restoration – Tail Lamps
Restoration – Auxiliary Lamps
Replacement Bulb (Please Specify Below)
Replacement Assy. (Please Specify Below)
BRAKES
Brake Pads – Front
Brake Pads – Rear
Rotors + Brake Pads – Front
Rotors + Brake Pads – Rear
OIL CHANGE
Oil Change – Conventional
Oil Change – Synthetic Blend
Oil Change – Full Synthetic
OTHER SERVICES REQUESTED
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