Schedule your appointment now!

NACCO Windshield
495-Q Arbor Hill Rd.
Kernersville, NC 27284

Schedule Appointment Now!

Please either call 336-993-2603, email us or submit this form to schedule your appointment.

  • While only the * information is required, the more we know about your service needs, the better we can quote your cost & estimate the required service time!
  • Car make, model, year, and many other factors determine the proper replacement glass. Please be as accurate as possible.
  • Occassionally the weather may alter appointment & cure times.
  • Saturday appointments are available, but you must call first.
* Name:
 *Preferred Contact Phone Number:
* E-Mail Address:
 * Confirm E-Mail Address:
* Service Address:
    Service Address Line 2:
* City:
 * State:             Zip:
         
   Best Time to Contact:         
   Best Way to Contact:         
   Preferred Appointment:     Note: Service time is 45-90 minutes
   I give you permission to send e-mails.   
Insurance Information
   Agency Name: Contact Name:
   Agency Phone: Policy Number:
   Date of Damage: Cause of Damamge:
Vehicle Information
   Make (e.g. Ford, Toyota, Lexus, etc.):  
   Model (e.g. Taurus, Camry, LS400, etc.):  
   Type (e.g. 2 door, 4 door, coupe, convertible,
      hatchback, station wagon):
   Year:
   Which piece of glass in broken? Please describe in detail.
    - e.g. Windshield, Drivers Side DS front door glass, Passenger Side PS front door glass,
    DS rear door glass, PS rear door glass, PS or DS Vent glass (non moving glass attached to rear door)
    PS or DS quarter glass (glass over rear tire), Back glass, Side View Mirror, Rear View Mirror.