Schedule Appointment You can schedule a free estimate or a repair in any of the following ways: 1. Call our Collision Center in Surprise at (623) 825-6506 to talk with a representative 2. Fill out the following form. A Blue Collision representative will contact you shortly to confirm your request. Vehicle Owner Information Full Name* Please type your full name. Street Address Please give us your address. City Please tell us your what city you live in. State Please tell us your what state you live in. Zip Please tell us your zip code (5 digits). Day Phone* Please tell us your daytime phone number. Evening Phone Please tell us your evening phone number. Email Address* Invalid email address. Vehicle Information Make* Please tell us the make of your vehicle (ie. Ford, Chevy, etc.). Model* Please tell us the model of your vehicle (ie. Explorer, Traverse, etc.). Year* Please Select20212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969 or older Please tell us the model year of your vehicle. Vin# Please tell us the Vin Number of your vehicle. Mileage Please tell us how many miles are on the odometer. Requested Appointment Date & Time Date Invalid Input Time Please tell us what time you would like your appointment. If your repair will be covered by an insurance company, please complete the following: Company Please tell us the name of your insurance company. Claim # Please tell us the name of your insurance claim number. If this estimate is being scheduled by a third party, please complete the following: Contact Please tell us the name of your third party contact. Company Please tell us the name of your 3rd party's company. Please give us a brief description of the damage to the vehicle: Invalid Input Additional Comments: Invalid Input User Validation: * Invalid Input (*) indicates a required field.
