SERVICES FORM - THE DENT SHOP

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WHAT SERVICES DO YOU NEED? * This field is required.

DINGS & DENTS: PAINTLESS DENT REPAIR

PAINT CORRECTION

AUTO HAIL REPAIR

2

Dent & Paint Damage Location(s). Select all that apply, then click next ...* This field is required.

Front Fender

Hood

Front Door

Rear Door

Quarter Panel (rear)

Roof (top)

Trunk or Rear Hatch

Bumper Cover (Plastic)

3

What is the approximate size of the damage, dent or Dent(s)* This field is required.Choose all that apply. Size is from edge to edge at the longest point on the dent or crease.

AUTO HAIL REMOVAL

1" or greater

2" to 3"

4" to 5"

5" to 7"

8" to 10"

The dent is 'bigger'

4

Please Enter the Vehicle YEAR, MAKE & MODEL* This field is required.Please provide this vital information so we can give you the most accurate quote possible

5

Do you have a photo of the damage?If 'Yes' please note the tip on the next page...

Yes

No

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FOR DENTS & DING, SHOOT PHOTOS LIKE A PRO ...If you're taking a photo of your dents.... here is a handy tip:

7

Take PhotoIf you already have a photo on your device, skip ahead to UPLOAD (next page)

8

Please upload your photos.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

9

Please provide your First Name* This field is required.

10

Please provide your contact Email* This field is required.We will never, ever use it for any purpose but to contact you about THIS repair. No Spam -- We promise!

11

Your contact Phone* This field is required.We may need to contact you about the dent or arrange for repair.

12

How did this dent happen?Please provide any details about how the dent occurred (if known)