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Be aware that to view some of the links below you will need to allow pop-ups on this page.  Some of the links will require a separate browser session for you to view the information.  This is so you won't lose your place on this form.  We find pop-up advertising just as annoying as you do and we will never knowingly employ them! 

Please complete the form below and click once on the SEND FORM button at the bottom.  We will contact you by phone or email in case we need more information.  If you have comments regarding this quote, please type them into the NOTES box at the bottom.  If you just have questions and do not want to use this form, please send us an .

Thanks!


Section 1: Customer Information

NAME:

ADDRESS1:

ADDRESS2:

CITY: STATE: COUNTRY: ZIP:

EMAIL ADDRESS:

PHONE NUMBER:

How would you like us to contact you regarding this quote?

Please tell us where you heard about us:
 


Section 2: Car Identification

YEAR: MANUFACTURER: MODEL NO:

DESCRIPTION:


Section 3: Window Information

If you need a quote on a complete set of windows, check the "COMPLETE SET" option below, explain your tinting preferences in the text box and skip to Section 4.  Otherwise, use the list below to indicate the window position, desired quantity, tint color and whether you would like tempered or laminated safety glass.  Please make sure you identify your car as well as you can.

COMPLETE SET .... TINT OPTIONS ....

Please note: cars with flat glass windows take the same window side to side.  For instance, a driver's door will take the identical window as the passenger's door...same for quarters, vents, two piece windshields, etc.  Also note that windshields are only available in laminated safety glass as per USDOT regulations.

 1. WINDSHIELD ... ...


    POSITION ............................... QUANTITY .............. PART NO .......... TINT .................. LAMINATED or TEMPERED

 2. ... EACH ... ... ...

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Section 4: Extras

Do you want black edging?*

*Available for 1941 and older cars only. Black edging is only available for laminated glass windows.

Do you want the original logo and date scripting? ....

*We will contact you about the logo and date code.

If your car is a convertible, roadster, phaeton or some other type of soft top, does it require an 1/8" rear window? .........................

NOTES




 

 






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