Inland Auto Glass

Helping You See Where the Road Takes You

Request a Quote - Auto Glass

If you would like to get a FREE estimate, please fill out the form below. Remember to give as much information as possible. Incomplete forms may not get a response. If you are not sure about some of the information needed please feel free to call our office for a quote over the phone at (208) 746-3644. (Bold = Required Fields)

Contact Information

	First Name:
	Last Name:
	Business Name:
	Street Address:
	City, State, Zip	,

	Phone Number:
	Fax Number:
	E-Mail Address:

Vehicle Information

	Year of Vehicle:
	Make of Vehicle:
	Model of Vehicle:

Insurance Information (Optional)

	Name of Insurance Company:
	Street Address:
	City, State, Zip	,

	Phone Number:

	Deductible Amount:
	Policy Number:
	Date of Loss:

Location and Glass to be Fixed on Vehicle

Glass Styles

	CLR - Standard clear glass. SH - Shaded at top of window, typical on most front windshields. Tint - Full coating of tint across the entire window. Privacy Glass Heated Other - Please Specify:

Please give us any other information you can think of:

Related Sites

Contact Info

Inland Auto Glass
225 7th Street
Lewiston, ID 83501

Phone: (208) 746-3644
Phone: (800) 873-7774
Fax: (208) 743-1821

	W/S - Windshield of vehicle VT - Vent on door panel DR - Door window QTR - Quarter panel window B/G - Back glass

	2 Door - Is this a 2 door vehicle? 4 Door - Is this a 4 door vehicle?

	Hatch Back Notch Back

	DVR - Driver's side of the vehicle. PASS - Passenger's side of the vehicle.

	FRT - In the front, if a four door vehicle. (Leave on FRT if two doors only) REAR - In the back, if a four door vehicle.