Chipping Sodbury Motor Company


Accident Repair Centre Online Estimation Request Form

Please note that this form is made available only for the convenience of online customers and completion of the form does not constitute a confirmed booking. 
Upon receipt of an online request, our customer service team will contact you by telephone to confirm your booking and individual requirements or to offer alternative arrangements.
This form should only be used for booking request dates at least 10 working days from the date shown below. 
Should you require more immediate service then please call the service desk on 01454 310136.
(View Terms and Conditions)

This request timed at: 

(All fields marked with a * must be completed)
Name:

Salutation

   (Mr/Mrs/Miss/Ms/Other)
  First Name *      
  Last Name *      
Address: House Name/No

*
Street Name *
District
Town *
Post Code *
  Daytime Tel *    
  Email *      
Car Details: Make *(e.g. Ford)
  Model *(e.g. Focus)
  Reg No *  
Details of accident damage and/or repair work required *
Will the costs of the work required be covered by your insurers?    

Yes    No
In certain circumstances and for major accident repair work we can arrange for one of our estimators to inspect vehicles in their present location. 

Please contact me to arrange an inspection visit 

Please contact me to arrange a workshop inspection

My preferred date for the inspection is:

 




Please check your entries carefully.
Click here to read our online forms terms and conditions.
Click on the button below to print this form for your records and/or to 
print the form if you would prefer to fax the request to us on 01454 325607
* I have read and agree the terms and conditions as stated