Service Request

"To schedule your auto glass replacement or to receive additional information, simply fill out our service request form below."

Thanks,
We'll contact you by the next business day.



SAFETY NOTE:
Repairs, instead of windshield replacement, are what insurers are trying to get glass shops to do. If there is over a 3" crack and it is just repaired, it can be unsafe. Insurers want you to repair up to 6" cracks...why? It costs them $25 to $40 for a repair, so they don't have to pay the higher cost for a needed replacement.


The Best Way I Can Be Contacted:
Your Information:
Name: Address: City: State: Zip: Telephone: Fax: E-mail:

Vehicle Information:
Year: Model: Make: Location:
How and when did breakage occur?


Would you like us to do your windshield replacement?
YES NO

When would you like us to do the work? AM PM
Preferred Date To Begin:

We'll take care of everything, hassle free,
including the paperwork.

Please provide the following Insurance Company Info:
Insurance Company:  
Agent Name:         
Telephone:          
Fax:                
E-mail:             

If no, when would you like to stop by for a free estimate?
YES NO



Your Auto Glass Concerns:




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   Jim Potts Auto Glass
   2204 Ave. J
   Lubbock, TX
   Phone: 765-7877

   Outside Lubbock
   1-800-319-3405

   Hours:
   Mon-Fri 8a-5:30p
   Sat 8a-Noon