Website Survey - Please rate your experience at Classic BMW

Please Select One:

First Time Service Customer Returning Service Customer

Preferred Contact:

Day Phone Cell Phone Fax Email

Vehicle Information (Year, Make, Model, Mileage, and last 7 of VIN Number)

Please tell us about the reason for your visit: Be specific as possible.

Insurance Information:
Have you already filed a claim with your insurance company?

Yes No

If you have not, please file an insurance claim with your insurance company, and provide us with the following information and we will take care of the rest.

Insurance Company Phone Number Contact Name: Claim Number:

Alternative Transportation:
Loaner Cars are not available for collision service, however, Enterprise Rental Car service is available at the Collision Center site.

Preferred Estimator:

Derek Dickerson Jarrod Wages Brian Lewis Jeff Scott Kizandra Young No Preference

What is your preferred appointment time?
Month, Day, Year, and Time