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DoctorLED Quote Form

DoctorLED Quote Form

Thank you for choosing DoctorLED! Please take a moment and THOROUGHLY read questions and answers all questions below accurately in order to get accurate pricing! This form is simply used to get basic information and streamline process. YOUR INFORMATION WILL NOT BE SOLD ONLINE TO ANYONE! If you do not understand a question do not hesitate to reach out to us via Call, Text, or DM! Any forms showing signs of incomplete responses, unrealistic entries, or evidence of skimming may not receive a response from DoctorLED772 and may be returned with a request for resubmission.
15Questions
  • 1
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  • 2
    Please Enter First and Last Name Below
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  • 3
    Please enter your Phone Number and Instagram below!
    Please Select
    • Call/Text
    • Instagram Direct Messages
    • TikTok Direct Messages
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  • 4
    Please enter your maximum spending budget for services requested and your vehicle information.
    Please Select
    • Please Select
    • <$200.00
    • $200.00 - $500.00
    • $500.00 - $750.00
    • $750.00 - $1,000.00
    • >$1,000.00
    Please Select
    • Please Select
    • No
    • Yes - Regular Sunroof (Stops just behind head)
    • Yes - Moonroof (Stops just behind back seat)
    • Yes - Dual Sunroof (multiple sunroofs)
    • Yes - Panoramic Sunroof (80% of headliner is glass)
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  • 5
    Please select below what service you are interested in! YOU CAN SELECT MULTIPLE SERVICES!!
    Please Select
    • [$330.00 - $3,000.00+] Starlight Headliner
    • [$150.00 - $600.00] Ambient Trim Lighting
    • [Starting at $500.00] Custom Headlight Modifications
    • [$450.00 - $1,300.00] Vehicle Underglow
    • Other
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  • 6
    Since you’ve Selected “Starlight Headliner” please take a moment a read questions below THOROUGHLY and answer all questions! IF YOU ARE UNSURE OF SOMETHING PLEASE STOP AND CONTACT US! Minimum Star Amount Coupes: 300 | Sedans: 450 | Trucks/SUVs: 600   ANY STAR AMOUNT THAT IS 700 OR MORE PLEASE SELECT DUAL TWINKLE OPTION!!! Twinkle Options (ALL OPTIONS COME RGB)   No-Twinkle (Stars will have no twinkle effect)   Single Twinkle (Stars will have twinkle effect)   Dual-Twinkle (2-faced twinkle effect look - MINIMUM 700 STARS) Shooting Stars Options : White-Only (Will only be the color white) RGB (Will have the option to change color!) Custom Design : If you would like a custom design please have whatever design you would like ready when contacted!
    Please Select
    • Please Select
    • No Twinkle
    • [+$30.00] Single Twinkle
    • [+$50.00] Dual Twinkle
    Please Select
    • Please Select
    • [+$120.00] Yes, White Only!
    • [+$150.00] Yes, RGB!
    • No, just my regular non-twinke OR twinkle stars.
    Please Select
    • Please Select
    • [+$300.00] YES, I have my design ready! Please contact me!
    • NO
    Please Select
    • Please Select
    • 100% - Perfect Factory Condition
    • 80% - Has blemish sagging or drooping in a few spots but everything is still intact, no serious sagging.
    • <50% - Has serious sagging but is still intact or a part of the fabric is completely detached from headliner board.
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  • 7
    Since you’ve Selected “Ambient Trim Lighting” please select an option below! Our “Full Interior Package” includes ambient lighting on The Dash, The Doors, and in the Footwells!
    Please Select
    • Please Select
    • [$120.00 - $200.00] Dash Only
    • [$150.00 - $200.00] Footwell Only
    • [$150.00 - $300.00] Doors Only
    • [$400.00 - $520.00] Dash and Doors Only
    • [$500.00 - $650.00] Full Interior Package!
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  • 8
    Since you’ve Selected “Headlight Modifications” DoctorLED will contact you personally to discuss options! Please have an idea or picture of what you want ready before submitting form! Do you understand?
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  • 9
    Since you’ve Selected “Vehicle Underglow” please take a moment a read questions below THOROUGHLY and answer all questions! IF YOU ARE UNSURE OF SOMETHING PLEASE STOP AND CONTACT US!
    Please Select
    • Please Select
    • [$425.00] RGB (Any Color)
    • [$475.00] RGBW (Any Color + PURE WHITE)
    • [$525.00] Flow Series (RGBW + Color-chasing Patterns)
    • [$800.00] Ghozt (Syncs with your headlights & Turn Signals)
    Please Select
    • Please Select
    • 4-Strip Kit
    • [+$80.00] 6-Strip Kit
    Please Select
    • Please Select
    • [+$200.00] Yes!
    • No.
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  • 10
    Please type below what service you are interested in!
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  • 11
    BASED OFF THE AVAILABILITY CALENDER POSTED ON DoctorLED INSTAGRAM STORY, what day would you like to come in? If you do not see a “CURRENT AVAILABILITY” calendar posted on our Instagram story and would like to see available days please contact us! If you are not worried about a day yet simply select TODAY’S DATE!
    -
    Pick a Date
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  • 12
    Did you want to add sameday service to your quote?
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  • 13
    Did you want to add mobile service to your quote?
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  • 14
    If you selected “YES” for mobile service please enter address below! If you selected “NO” for mobile service please enter “DoctorLED772” and select our business location! Mobile Fee Rates : Within 60 Minutes of DoctorLED : $150.00 60- 120 Minutes from DoctorLED : $200.00 120-150 Minutes from DoctorLED: $250.00 150+ Minutes from DoctorLED : TBD
    Please Select
    • Please Select
    • Afghanistan
    • Albania
    • Algeria
    • American Samoa
    • Andorra
    • Angola
    • Anguilla
    • Antigua and Barbuda
    • Argentina
    • Armenia
    • Aruba
    • Australia
    • Austria
    • Azerbaijan
    • The Bahamas
    • Bahrain
    • Bangladesh
    • Barbados
    • Belarus
    • Belgium
    • Belize
    • Benin
    • Bermuda
    • Bhutan
    • Bolivia
    • Bosnia and Herzegovina
    • Botswana
    • Brazil
    • Brunei
    • Bulgaria
    • Burkina Faso
    • Burundi
    • Cambodia
    • Cameroon
    • Canada
    • Cape Verde
    • Cayman Islands
    • Central African Republic
    • Chad
    • Chile
    • China
    • Christmas Island
    • Cocos (Keeling) Islands
    • Colombia
    • Comoros
    • Congo
    • Cook Islands
    • Costa Rica
    • Cote d'Ivoire
    • Croatia
    • Cuba
    • Curaçao
    • Cyprus
    • Czech Republic
    • Democratic Republic of the Congo
    • Denmark
    • Djibouti
    • Dominica
    • Dominican Republic
    • Ecuador
    • Egypt
    • El Salvador
    • Equatorial Guinea
    • Eritrea
    • Estonia
    • Ethiopia
    • Falkland Islands
    • Faroe Islands
    • Fiji
    • Finland
    • France
    • French Polynesia
    • Gabon
    • The Gambia
    • Georgia
    • Germany
    • Ghana
    • Gibraltar
    • Greece
    • Greenland
    • Grenada
    • Guadeloupe
    • Guam
    • Guatemala
    • Guernsey
    • Guinea
    • Guinea-Bissau
    • Guyana
    • Haiti
    • Honduras
    • Hong Kong
    • Hungary
    • Iceland
    • India
    • Indonesia
    • Iran
    • Iraq
    • Ireland
    • Israel
    • Italy
    • Jamaica
    • Japan
    • Jersey
    • Jordan
    • Kazakhstan
    • Kenya
    • Kiribati
    • North Korea
    • South Korea
    • Kosovo
    • Kuwait
    • Kyrgyzstan
    • Laos
    • Latvia
    • Lebanon
    • Lesotho
    • Liberia
    • Libya
    • Liechtenstein
    • Lithuania
    • Luxembourg
    • Macau
    • Macedonia
    • Madagascar
    • Malawi
    • Malaysia
    • Maldives
    • Mali
    • Malta
    • Marshall Islands
    • Martinique
    • Mauritania
    • Mauritius
    • Mayotte
    • Mexico
    • Micronesia
    • Moldova
    • Monaco
    • Mongolia
    • Montenegro
    • Montserrat
    • Morocco
    • Mozambique
    • Myanmar
    • Nagorno-Karabakh
    • Namibia
    • Nauru
    • Nepal
    • Netherlands
    • Netherlands Antilles
    • New Caledonia
    • New Zealand
    • Nicaragua
    • Niger
    • Nigeria
    • Niue
    • Norfolk Island
    • Turkish Republic of Northern Cyprus
    • Northern Mariana
    • Norway
    • Oman
    • Pakistan
    • Palau
    • Palestine
    • Panama
    • Papua New Guinea
    • Paraguay
    • Peru
    • Philippines
    • Pitcairn Islands
    • Poland
    • Portugal
    • Puerto Rico
    • Qatar
    • Republic of the Congo
    • Romania
    • Russia
    • Rwanda
    • Saint Barthelemy
    • Saint Helena
    • Saint Kitts and Nevis
    • Saint Lucia
    • Saint Martin
    • Saint Pierre and Miquelon
    • Saint Vincent and the Grenadines
    • Samoa
    • San Marino
    • Sao Tome and Principe
    • Saudi Arabia
    • Senegal
    • Serbia
    • Seychelles
    • Sierra Leone
    • Singapore
    • Slovakia
    • Slovenia
    • Solomon Islands
    • Somalia
    • Somaliland
    • South Africa
    • South Ossetia
    • South Sudan
    • Spain
    • Sri Lanka
    • Sudan
    • Suriname
    • Svalbard
    • eSwatini
    • Sweden
    • Switzerland
    • Syria
    • Taiwan
    • Tajikistan
    • Tanzania
    • Thailand
    • Timor-Leste
    • Togo
    • Tokelau
    • Tonga
    • Transnistria Pridnestrovie
    • Trinidad and Tobago
    • Tristan da Cunha
    • Tunisia
    • Turkey
    • Turkmenistan
    • Turks and Caicos Islands
    • Tuvalu
    • Uganda
    • Ukraine
    • United Arab Emirates
    • United Kingdom
    • United States
    • Uruguay
    • Uzbekistan
    • Vanuatu
    • Vatican City
    • Venezuela
    • Vietnam
    • British Virgin Islands
    • Isle of Man
    • US Virgin Islands
    • Wallis and Futuna
    • Western Sahara
    • Yemen
    • Zambia
    • Zimbabwe
    • Other
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