At Nanuet Collision Centers, we have full time estimators so we can frequently give you an estimate on any work within 24 hours. No estimates will be provided without seeing your vehicle.  The information provided to set-up an estimate appointment only. 
  

NAME:
DATE:
ADDRESS:
WORK NUMBER:
HOME NUMBER:
CITY:
STATE:
ZIP CODE:
EMAIL ADDRESS:

Year, Make and Model of Your Vehicle:

Your Insurance Company:

Your Insurance Agent:

Other Driver’s Insurance Company: 

Date of Accident: 
How did you hear about Nanuet Collision Centers?
Insurance Agent
Customer Referral
Dealer Referral
Advertisement
Drive By
Web Site
Yellow Pages
Other:

Do you have an insurance estimate?
Yes   No

Is this your  1st   2nd  3rd estimate?

Are you going to have your car repaired?
Yes  No

 Would you like Nanuet Collision Centers to repair your car? 
Yes  No

What is your number one concern about the repairs to your vehicle? (Please check one)
Quality of Repairs
Color Match
Price
Time In Shop

Who will be paying for your repairs?
Your Insurance Company.
Their Insurance Company.
I’m paying for the repairs myself.

YOUR BUSINESS IS APPRECIATED!