APPOINTMENT - Spina and Adams Collision Services

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[cost_calculator_dropdown_box id=”vehicle-make” name=”vehicle-make” label=”VEHICLE MAKE” options_count=”15″ option_name0=”General Motors” option_value0=”General Motors” option_name1=”Land Rover” option_value1=”Land Rover” option_name2=”Lexus” option_value2=”Lexus” option_name3=”Lincoln” option_value3=”Lincoln” option_name4=”Mazda” option_value4=”Mazda” option_name5=”Mercedes – Benz” option_value5=”Mercedes – Benz” option_name6=”Mercury” option_value6=”Mercury” option_name7=”Mitsubishi” option_value7=”Mitsubishi” option_name8=”Nissan” option_value8=”Nissan” option_name9=”Renault” option_value9=”Renault” option_name10=”Plymouth” option_value10=”Plymouth” option_name11=”Pontiac Porsche” option_value11=”Pontiac Porsche” option_name12=”Rover” option_value12=”Rover” option_name13=”Saab” option_value13=”Saab” option_name14=”Saleen” option_value14=”Saleen” show_choose_label=”1″]

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[cost_calculator_input_box id=”appointment-date” name=”appointment-date” type=”date” label=”APPOINTMENT DATE” placeholder=”Preffered Date of Appointment”][cost_calculator_dropdown_box id=”time-frame” name=”time-frame” label=”PREFFERED TIME FRAME” options_count=”9″ option_name0=”09:00 AM – 10:00 AM” option_value0=”09:00 AM – 10:00 AM” option_name1=”10:00 AM – 11:00 AM” option_value1=”10:00 AM – 11:00 AM” option_name2=”11:00 AM – 12:00 PM” option_value2=”11:00 AM – 12:00 PM” option_name3=”12:00 PM – 01:00 PM” option_value3=”12:00 PM – 01:00 PM” option_name4=”01:00 PM – 02:00 PM” option_value4=”01:00 PM – 02:00 PM” option_name5=”02:00 PM – 03:00 PM” option_value5=”02:00 PM – 03:00 PM” option_name6=”03:00 PM – 04:00 PM” option_value6=”03:00 PM – 04:00 PM” option_name7=”04:00 PM – 05:00 PM” option_value7=”04:00 PM – 05:00 PM” option_name8=”05:00 PM – 06:00 PM” option_value8=”05:00 PM – 06:00 PM” show_choose_label=”1″ top_margin=”page-margin-top”]SELECT SERVICES NEEDED[cost_calculator_input_box id=”collision-repair” name=”collision-repair” type=”checkbox” label=”Collision Repair” default_value=”1″][cost_calculator_input_box id=”painting” name=”painting” type=”checkbox” label=”Painting” default_value=”1″ checked=”0″ el_class=”no-border-left”][cost_calculator_input_box id=”tow-service” name=”tow-service” type=”checkbox” label=”Tow Service” default_value=”1″ checked=”0″ el_class=”no-border-left”]

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