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)

Licence PLATE (not required but good to have)

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

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

Insurance Policy and Claim number (not needed but required if you are going through Insurance)

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