Automobile Estimate Form
E-mail Address: *
First Name *
Last Name *
Home Phone *
Work Phone
Cell Phone
Make *
Model *
Year *
Number of doors * 2 doors
4 doors
The original glass was... * Clear
Tinted
Shaded
Please use the area below to provide an explanation of what the job would address. Be sure to let us know what piece of glass we will be working on (Windshield, mirror, etc.), and how soon you would need the work completed.We aim to please, so the more information that you provide us, the better we can custom the job around your needs!
* Required
Cornhole Sets

Order your Tournament Size CORNHOLE SET today
for only $70!

Bags available in
assorted colors.

Call 513.797.5567

 
Brad's Glass Shop

"On Target For Success"

2164 Ohio Pike
Amelia, OH 45102
phone: 513.797.5567
fax: 513.797. 5569

We accept Visa, MasterCard,
and Discover