Submit Estimate - Great Lakes Ford Collision

Great Lakes Ford Collision, Expect Nothing Less Than Excellence!

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First Name*

Last Name*

Phone Number*

E-mail*

Address*

City*

State*

ZIP*

Vehicle VIN*

Year*

Make*

Model*

Describe Damage*

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Will you be filing an insurance claim?

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Claim Number (If Known)

Repair Authorization Signature*

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