UPDATED 02-04-10
SELLING? WERE BUYING
Now purchasing all makes, models and years. Call us 800/257/9634 to find out the cash value of your vehicle.
AUTO GLASS QUOTE AND REPLACEMENT FORM
IN HOUSE REPLACEMENTS ONLY - ON LOCATION REPLACEMENT NOT AVAILABLE
NAME:
CITY
FIRST
LAST
STATE
ZIP CODE
PHONE NUMBER:
EMAIL ADDRESS:
CONFIRM EMAIL ADDRESS:
VEHICLE INFORMATION:
YEAR:
MAKE:
MODEL:
VIN NUMBER:
GLASS NEEDING TO BE REPLACED:
PLEASE NOTE ALL GLASS OPTIONS. EXAMPLE: TINT CODE, BAND ON TOP OF WINDSHEILD, ECT.
AVERAGE RESPONSE TIME WITHIN 24 HOURS
[HOME] [REBUILDERS I] [REBUILDERS II] [ABOUT US] [PARTS SEARCH] [IMAGE SEARCH] [INS FORM] [CONTACT US] [LOCATION]
Hours of Operation - Monday-Friday - 7:30-5:00 Saturday - 7:30-12:00 Lems Auto Recyclers ~ 402 Gere Ave.~Doon,IA~51235 1-800-257-9634 or 712-726-3202 www.lemsauto.com E-mail- lemsauto@hotmail.com
NOT RESPONSIBLE FOR TYPOGRAPHICAL ERRORS
