1. You can schedule an Mesa collision repair estimate or repair in any of the following ways:

    1. Call our Collision Center in Mesa at 480-984-6961 to talk with a representative
    2. Fill out the following form. A Rapid Collision representative will contact you shortly to confirm your request.

  2. Vehicle Owner Information
  3. Full Name*
    Please type your full name.
  4. Street Address
    Please give us your address.
  5. City
    Please tell us your what city you live in.
  6. State
    Please tell us your what state you live in.
  7. Zip
    Please tell us your zip code (5 digits).
  8. Day Phone*
    Please tell us your daytime phone number.
  9. Evening Phone
    Please tell us your evening phone number.
  10. Email Address*
    Invalid email address.
  11. Vehicle Information
  12. Make*
    Please tell us the make of your vehicle (ie. Ford, Chevy, etc.).
  13. Model*
    Please tell us the model of your vehicle (ie. Explorer, Traverse, etc.).
  14. Year*
    Please tell us the model year of your vehicle.
  15. Vin#
    Please tell us the Vin Number of your vehicle.
  16. Mileage
    Please tell us how many miles are on the odometer.
  17. Requested Appointment Date & Time
  18. Date
    Please select a date when we should contact you.
  19. Time
    Please tell us what time you would like your appointment.
  20. If your repair will be covered by an insurance company, please complete the following:
  21. Company
    Please tell us the name of your insurance company.
  22. Claim #
    Please tell us the name of your insurance claim number.
  23. If this estimate is being scheduled by a third party, please complete the following:
  24. Contact
    Please tell us the name of your third party contact.
  25. Company
    Please tell us the name of your 3rd party's company.
  26. Please give us a brief description of the damage to the vehicle:
  27. Invalid Input
  28. Additional Comments:
  29. Invalid Input
  30. User Validation:
  31. *
    Invalid Input
  32. (*) indicates a required field.
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