7 DAYS A WEEK

CRAIG’S WORK ORDER: WORK ORDER 1

     

    JOB INFORMATION

     
    Autoglass:REPLACEMENTREPAIR Sales Person:
    Location: Todays Date:
    Job Date: Lead:
    Job Day: Mailing Address:
    Job Time:
    Cash/Insurance:

     

    CUSTOMER INFORMATION

     
    Customer Name: Agent:
    Home Phone: Date of Loss:
    Cell Phone: Deductible:
    Work Phone: Dispatch Number:
    Email: Location:

    Insurance Company:

    		 Location Address:
    Policy Number:

     

    CAR INFORMATION

     
    Year: Make: Model:
    Style of Car & Damaged Glass: Color: VIN:

     

    WINDSHIELD INFORMATION

     
    Windshield:
    Rain SensorHeatedElectric MirrorH.U.D.N/A Other:

     

    SPECIAL NOTES & AUTOGLASS CONSIDERATIONS

     

    Part#/Brand: Warehouse:
    MLDG Required: W/S Price$:
    MLDG Add$: Collect $:




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