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 M-F 8-5pm and Saturday 9-1pm
MonTuesWedThursFriSat (9AM only)

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 Rain SensorNO Rain Sensor
YES Heads Up DisplayNO HUD
Yes LDWSNO Lane Departure Warning System)
YES Electrochromatic Rearview mirrorNO Self Dimming Rearview mirror

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