Book An Appointment

1

Your
information

First Name:*

Last Name:*

Phone:*

Email:*

Preferred method of communication:

EmailPhone

Do you need a Courtesy Car ? We can arrange drop off while your car is being repaired.

YesNo

2

Your
vehicle information

Year:*

Make:*

Model:*

Doors:*

Damage:*

3

Appointment details

Service

Preferred Location:*

We pick vehicles from anywhere in Vancouver, Burnaby, Coquitlam, Surrey and Langley- We offer door to door service & we can drop off a loaner car and pick up your vehicle, then deliver it once the work is completed.

Request Date:*

Preferred Date:

Request Time:

MorningAfternoon

Comments:

Insurance Claim : YesNo

Fields marked with an asterisk (*) are required

Note: Rapid Auto Glass representative will confirm the booking and the availability of the parts.

Yourinformation

Yourvehicle information

Appointment details

Request call back and emergency call anywhere

Your
information

Your
vehicle information

Request call back and
emergency call anywhere