Your Name (required)

    Your Email (required)

    Your Phone (mobile) Number 123-456-7890 (required)

    Your Address (Appreciated)

    Year (required)

    Make (required)

    Model (required)

    Doors (required)
    2 door4 doors or more

    Body Style (required)

    VIN (not required but good to have required if you are going through Insurance/Fleet card)

    Licence PLATE (not required but good to have required if you are going through Insurance/Fleet card)

    Mileage (not needed but required if you are going through Insurance/Fleet card)

    Date of Damage (not needed but required if you are going through Insurance)

    Fleet Card name/number or Insurance Co.name, Policy & Claim number (not needed but required if you are going through Insurance/Fleet card)

    Service
    RepairReplacement

    Brief description of damage | Notes about vehicle | Auto glass notes

    Day (Best Available) Crackmasters 105 Ave is open Monday-Friday 8-5pm and Saturday 9-1pm
    MonTuesWedThursFriSat (9AM only)Anyday

    Drop off time (Days Available)
    8-9am (Appointment 9-noon)noon-1pm (Appointment 1-4pm)anytime

    Options
    (Eg: Shade-band | Brands or Logos | Rain Sensor | Heated | Acoustic Interlay | Heads up Display | Forward Collision Alert | Lane Departure Warning System | Humidity Sensor | Condensation Sensor| Electrochromatic Rearview mirror | Adaptive Cruise Control | Automatic Windshield Washer Camera | Compass in Rearview mirror | Other )

    Windshield Options
    HeatedNot Heated
    YES Has a Humidity/Condensation SensorNO Condensation Sensor
    YES Has a Rain SensorNO Rain Sensor
    YES Heads Up DisplayNO HUD
    Yes LDWSNO Lane Departure Warning System)
    YES Electrochromatic Rear view mirrorNO Self Dimming Rear view mirror (I manually flip switch if there are bright lights behind me

    Service Options
    YES please, I want new wipers for $25/pair installedNo new wipers - I will risk scratching a new windshield with my old ones
    YES Aquapel - hydrophobic glass treatment. I hear it is great and last 6-9 months for $20 with a new windshieldNo Aquapel

    How should we contact you?
    PhoneEmail

    How did you find Windshield Edmonton?
    Search engine (Google/Bing/Yahoo...)FacebookYelpTwitterBlogword of mouth