Service - Request Form
We are hear to serve you. Professional service that is brought to you at your convenience and location.
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
Texas
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Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
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Hawaii
Idaho
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Maine
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Ohio
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Rhode Island
South Carolina
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Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Car Year
Car Make
Car Model
Car Plate
Services Being Requested - https://youtu.be/lTus086Qhe0 Pricing
Olympic Detailing Packages
Maintenance & A La Carte
Repair, Restoration, & Treatment
Residential & Commercial Services
Olympic Detailing Packages
Please Select
Level 1 Sentimental Package ≈5 hrs.
Level 2 Superb Package ≈6 hrs.
Level 3 Supreme Package ≈7 hrs.
Level 4 Superior Package ≈8 hrs.
Level 5 Paint Correction Package ≈8 hrs.
Maintenance & A La Carte
Please Select
Maintenance Exterior Only - Quick Detail
Maintenance Interior Only - Quick Detail
Maintenance Oil Change
Maintenance Air Filter Replacement
Repair, Restoration, & Treatment
Please Select
Repair Windshield Chip* ≈1 hr.
Restoration Headlights ≈2 hrs.
Restoration Exterior Trim ≈1 hr.
Treatment Glass Scratch Removal ≈1 hr.
Treatment Windshield Hydrophobic Application ≈2 hrs.
*We can work with insurance on Chip Repair - most insurance companies will cover at no cost to you.
Residential & Commercial Services per Sq. Ft.
Please Select
Carpet Cleaning Per Room
Graffiti Removal
Concrete, Brick, Fence, Patio, & Deck Cleaning
Exterior Siding Cleaning
Rain Gutter Cleaning
Approximate Sq. Ft. of Project / Number of Rooms
Estimated Subtotal
Pricing will be determined and agreed upon before any services are rendered. ***Rock Chip repair generally can be covered by your insurance company and will cost you $0.00***
Photos -Vehicle
Browse Files
Drag and drop files here
Choose a file
4 photos needed - Right, Left, Front, Back - In order to process faster
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Picture -Windshield Damage Close Up
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To show the extent of the damage - if multiple chips take a picture of each one.
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Clear Picture -Insurance Card
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Optional if you are wanting to work with Insurance
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Clear Picture -Drivers License
Browse Files
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Choose a file
To Show You Are The Insured - If you want to work with insurance, this information is only required for Geico, State Farm, and USAA
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Date Damage Occurred
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Month
-
Day
Year
Date
Current Mileage
Appointment Date Request
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Month
-
Day
Year
Date
Time Request
Hour Minutes
AM
PM
AM/PM Option
Appointment
Auto Service Release Form
Signature
*
Date Signed
-
Month
-
Day
Year
Minutes
AM
PM
AM/PM Option
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