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Your Contact Information

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* Name:
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Your Vehicle Information

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* Year:
* Model:
Other:


What Caused Your Dent(s)?

Car Door Golf Ball Bicycle Hail Storm
Shopping Cart Baseball Moving Vehicle Scrape Against a Wall
Sat On or Leaned Against
Not Sure or Other (Please Describe)

What Best Describes the Size of Your Dents? (choose the best answer and add more info if necessary)

Golf Ball Baseball Softball Football
Basketball
Other (Please Describe)
Please Indicate Damaged
Panel Location(s)
Where is the Dent Located on the Panel?
In the middle of the panel
Close to the edge(3″ or closer)
On the body line
On the wheel well
On the flat area of a panel
On the curvature of a panel
How Many Dents Do You Need Repaired?
Does Your Dent have Paint Damage?

(choose the best answer and add more info if necessary)
Paint is cracked
Paint is chipped
Paint transfer from another object
No paint damage

 

 

 

 

 

 

 

 

 

 

 

Any additional comments regarding the damage to your vehicle?

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