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Please carefully complete all of the pre-application questions below:
Name
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Phone
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Email
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Make
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Model
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Year
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Location:
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Demmer Wayne
Demmer Dearborn
Appointment Date
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Insurance Co:
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Insurance Claim #
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Description of Damage
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Comments
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Type of Repair Needed:
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Collision Repair
Theft Repair
Glass Replacement
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Jack Demmer
中景假期酒店