Step 1 of 4 - Details of Damage 25% Sharing location and ownership, Defender and D&S work alongside each other to provide both auto body and auto glass repairs with the same guiding principles of providing the best possible customer service, convenience and quality. Fill out the form below to get an auto glass repair quote.Details of the DamageWhat needs to be repaired on your vehicle?* Front Windshield Rear Windshield Side Window Front WindshieldFront Windshield Damage* Chip/ nick (smaller than a quarter) Chip/ nick (larger than a quarter) Crack/ shattered Front Windshield Details* Heated Rain Sensing Wipers Lane Departure Warning System None Not Sure Select all that apply.Side WindowWhat side is the repair needed?* Driver's Side Passenger's Side Add a photo for reference Select all that apply.Add a photo of glass that needs to be repaired.*Max. file size: 100 MB.What glass needs to be replaced?* Driver's Side Front Window Driver's Side Rear Window Driver's Side Quarter Glass Select all that apply.What glass needs to be replaced?* Passenger's Side Front Window Passenger's Side Rear Window Passenger's Side Quarter Glass Select all that apply.Rear Window DamageTint options for your new glass.* Green Tint Dark Privacy Tint Vehicle InformationVehicle Year* Vehicle Make* Vehicle Model* Number of doors your vehicle has* 2 4 Is your vehicle a convertible?*YesNo Location of RepairsWhere would you like your vehicle repaired?* At Defender Auto Glass Location We Come to You Which Defender Auto Glass location would you like the repairs completed at?* Mentor Elyria Chardon Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Customer InformationName* First Last Phone*Email* Preferred Method of Contact* Phone Email More Details:If you have any questions, concerns, or additional information to provide, put ut here.How did you hear about us?* Internet Search Insurance Agent Friend Referral Repeat Customer PhoneThis field is for validation purposes and should be left unchanged.
