Atlas - On-Line Schedual Page

ATLAS BODY SHOP

3-STEP COLLISION REPAIR:

DROP OFF..RELAX..PICK UP..

922 E. Carson
San Antonio, TX 78208

(210) 224-4507
(800) 649-2852
Fax:(210) 226-1430

Business Hours:
Monday - Friday
7 a.m. to 7 p.m.
Saturdays
8 a.m. to 12 p.m.
Please call for holiday hours

MAKE AN APPOINTMENT ON-LINE TO SAVE SOME TIME:

(All asterisk (**) fields are required)

CONTACT INFORMATION
FIRST NAME
LAST NAME
ADDRESS 1
ADDRESS 2
CITY
state
ZIP CODE
**HOME PHONE
WORK PHONE
CELL PHONE
**PREFERRED CONTACT	WORK PHONE HOME PHONE CELL PHONE
EMAIL
DO YOU HAVE AN ESTIMATE?	YES NO
WHO IS PAYING FOR THIS REPAIR?	MY INSURANCE THEIR INSURANCE INDIVIDUAL

VEHICLE INFORMATION
CAR MAKE
CAR COLOR
CAR MODEL
CAR YEAR
MILEAGE
LICENSE PLATE NUMBER
AREA OF DAMAGE
VIN NUMBER

INSURANCE INFORMATION
**INSURANCE PROVIDER
POLICY NUMBER
AGENT'S NAME
DATE OF ACCIDENT
CLAIM NUMBER
DEDUCTIBLE AMOUNT

SERVICE INFORMATION
**IS THE VEHICLE DRIVEABLE	YES NO DON'T KNOW
**DOES A TOW TRUCK NEED TO PICK YOUR CAR UP	YES NO
**TYPE OF SERVICE REQUIRED	ESTIMATE REPAIR BOTH
**WAIT SERVICE	SHUTTLE RIDE RENTAL CAR DROPOFF
**IF YOU NEED MORE THAN 1 WAIT SERVICE ABOVE PLEASE STATE
**PREFERRED APPOINTMENT