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Broken Windows
Broken Window Quote
Broken Window Quote Form
Please enter your name and location. *required
Customer Name:
*
Please enter your name.
Phone Number:
Please enter your phone number.
Email:
*
Please enter a valid email address.
Address:
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City:
*
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State:
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Zip Code:
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Type:
Broken Window
Broken Door Glass
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Select all that Apply:
*
Residential
Single Pane Glass
Clear Glass
Tinted Glass
Obscure Bath Rm. Glass
Commercial business
Dual Pane Glass
Low E Glass
Laminated Glass
Tempered Safety Glass**
Please make selections
**You will need Tempered Safety Glass if your broken glass is in a door, with in 24" of a door, within 18" of the floor, or in a hazardous location.
Frame Type:
*
Wood Frame
Aluminum Frame
Vinyl Frame
Steel Frame
Wood with Aluminum Clad
Window has Grids
window has Putty Glazing
Please select one.
Measure your broken glass from the inside edge of the frame to the other inside edge of the frame. This will give you the Day Light size or the area the Day Light shines through. Enter this size below. If you have more than one broken pane enter quantity and sizes.
Quantity:
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Width:
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Height:
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Quantity:
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Width:
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Height:
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Quantity:
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Width:
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Height:
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Installation Labor:
*
1. Are you bringing your window or door to our shop for repair?
2. Do you want our service team to come to your home or business for installation?
Please select one.
If you checked #2 above, check the box below that applies.
Home or business service:
First floor easy access?
Second floor and or need a ladder?
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Additional Comments:
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Please prove you are human and type in the numbers below.
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