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Full Name*

Phone number*

Email*

Vehicle Information

Year

Make

Model

VIN (Vehicle ID Number)

License Plate Number

Type of Vehicle & Classification

*Personal Vehicle

*Company Vehicle

*Fleet Vehicle

Convertible

Coupe

Hatchback

Sedan

SUV

Truck

Van

RV

Boat

Semi/Big Rig

Other

Description of Service Needs

OPERATING HOURS & LOCATION

Mon - Fri: 8am - 5pm  

High Sierra Glass
6230 Enterprise Drive - Suite B
Diamond Springs, CA 95619

530-295-3724

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