Twin City Collision Repair

Schedule an Estimate Appointment

As always, vehicle damage estimates will be gladly given on a drive-up basis. However, you can make an appointment for your damage estimate by filling out and submitting the following form. We will be waiting for you and the generation of your estimate will be handled in the most expeditious manner.

Please enter as much appropriate information in the following form and submit it with the button. Every effort will be made to accommodate your personal schedule. We will contact you if there is a problem with the appointment time chosen. If there is no problem, then we will be looking forward to serving you.

Location Selection

Desired Estimate Appointment Date and Time

Customer Information

Name		Home Phone
Address		Work Phone
City		State
Zip
Email

Damaged Vehicle Information

Color
Is vehicle treated with a paint protector?		Yes	No

General Information

How did you hear about us?

Web Site
Repeat Customer
Agent Referral
Adjuster Referral
Friend Referral
Building Sign
TV Ad
Radio Ad
Drive By
Printed Page
Yellow Pages

Who's paying for your repairs?

	My Insurance Company
	Their Insurance Company
	Myself

Name of paying Insurance company

Who is your insurance agent?

Has an Insurance Company written an estimate?
Yes No

Including this estimate, how many estimates have you obtained?

	One
	Two
	Three or more

Would you like us to repair your vehicle?
Yes No

What is most important to you in having your car repaired.

	Alignment of body panels
	Color match
	Drives correctly
	Delivery on time
	Written warranty

If you were referred to us, would you please give us their name so we may send them a Thank You.

Name
Address
City

Which Twin City Collision Repair location do you prefer?

	Does Not Matter
	350 South Location
	Farabee Drive Location

Submit Estimate Appointment Schedule