Please contact us for price before completing this
form.
info@1866estimate.com
or Toll Free: 1-866-Estimate
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What method of delivery would you like the estimate(s) sent?
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How did you hear about us:
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Title:
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First Name:
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Last Name:
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Street Address:
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City:
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State:
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Zip:
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Vehicle VIN Number: |
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Phone Numbers; please include area code and extensions:
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Main number:
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Alternate number:
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e-mail:
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The Year, Make and Model of Vehicle:
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Options:
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If you have anymore special options, please write them in here:
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Two or Four door:
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Mileage:
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Other:
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Engine:
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Cubic inch and Horsepower:
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Number of cylinders:
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Opinion of engine running quality:
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Engine Serial no. on cylinder head:
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Transmission, type and opinion of condition:
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Wheels:
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Tire make:
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Tire wear and condition:
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Spare Tire:
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Radio make and options:
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Opinion of body condition, note any rust or bondo/plastic spots:
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Body construction, metal, fiberglass or other:
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Color of paint:
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Opinion of quality of paint job:
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Opinion of, if vehicle was re-painted:
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If re-painted, approx how long ago?:
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Quality of interior seats and type, note any rips:
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Color of interior:
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Check engine oil for any burnt smell:
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Check engine quality, note any leaks:
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Check transmission quality, note any leaks:
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Check rear end quality, note any leaks:
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Check all lights and electrical components:
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Check quality exhaust system:
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Check quality of floor pans:
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Check quality of frame:
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Body panels line up properly?:
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Check quality of all chrome:
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Check quality of all glass:
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Take pictures of both sides of vehicle, engine, and interior. The estimate will be completed with or without any pictures. Attach up to 5 images:
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Approximate value: (if no idea leave blank)
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The zip code of where the vehicle is located
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Any additional comments:
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