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Choosing a Collision Repair Service

Request a Collision Repair Estimate

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Contact Information

* First name:

* Last name:

* Address:

* City:

* State:

* Zip:

   

How should we contact you?

Phone

* Phone No.

Email:

* Email Address:

Vehicle Information

* Make

* Model

* Year

* Briefly Describe Your Vehicle

 

Is Vehicle Driveable

Yes

No

Name of Your Insurance Company:

If you were not "at fault" in this accident, please provide the name of the insurance company that will be covering the cost of repairs to your vehicle:

 

Has the insurance company looked at your vehicle?

Yes

No

Claim No., if available

Adjuster's Name, if available

Adjuster's Telephone No., if available

Will you need one of our COMPLEMENTARY LOANER CARS while your car is being repaired?

Yes

No


CITY EAST

(509) 924-3825
2512 North Woodruff Rd.
(East of Argonne Village)
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