Use the form below to submit your estimate request.  Remember
to include your pictures for restoration estimates.  This
process will only give a rough idea of the total cost and is
not intended to be a final estimate, which requires personal
inspection.  Note: pictures will NOT be returned.
_______________________________________________________________

OWNER INFORMATION     Full Name:

Address:                               City:

State:         Zip:        E-mail address:
_______________________________________________________________

CAR RESTORATION SERVICES

Vehicle Make:               Model:              Year:  

On a scale of 1 to 5 , how do you rate this car?
(Ex: 1 indicates perfect 3 indicates usable with very little
visible rust and interior shows some wear, and 5 indicates not
usable as is):  ___________

Application: please tell us about your application for this car
(daily driver, Street Performance, race car, street/strip, etc.
Give us a good idea of what you expect to do with this car):




Special instructions: please tell us about any custom features
you'd like, such as paint color, types and color of stripes: 



Interior:  please tell us about what type of interior
restoration or custom feature you'd like, such as stock,
color preferences, add-ins, roll cage, etc.:




Additional comment for this restoration or custom car: tell us
anything here not covered above, or additional services you
request:




_______________________________________________________________

ENGINE SERVICES: (high performance engine building limited to
Chevy Big block and Small block, most performance upgrades
available for all domestic makes and models and some foreign
models)

Is this engine for the vehicle restoration above?  If "No",
please describe the application:




Engine make:            Big blcok or small block?:

Displacement (c.i.):

What components (if any) will be supplied? (indicate current
condition):




Additional comments for engine service:




Additional comments or services you require:




_______________________________________________________________

OPTIONAL SERVICES (check all that apply):

            ___Trailered Pick-up service

            ___Trailered Drop-off service

Mail completed form and pictures to:

				Independent Autobody PLUS
				4952 Plymouth-Spring Mill Road
				Shelby, OH  44875