UPDATED 07-31-2010
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AUTO GLASS QUOTE AND REPLACEMENT FORM
Name:
City:
First
State:
Last
Zip Code:
Phone Number:
Email Address:
Confirm Email Address:
Vehicle Information:
Year:
Make:
Model:
VIN:
Glass Needing To Be Replaced:
Please note all glass options. Example: tint code, band on top of windsheild, ect.
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 - search@lemsauto.com
not responsible for typographical errors
