Mundelein Carstar Collision Repair Center

To request an appointment for an estimate or repair please fill out the following information and submit to us.

While only fields marked with ** are required information, completely filling out this form will expedite the appointment and minimize the time you must spend in our office.

Please provide the following contact information:

**Name

**Address

**City

**State

**Zip

**Work Phone

**Home Phone

**E-mail

* This information is used for contact purposes only. It is confidential and will not be shared with other parties.

**Year of Car?

Make of vehicle?
(Honda, Subaru, etc.)

**Model?
(Accord, Legacy etc.)

**Style?
(Van, pickup, 2-door etc.)

* This information is for internal use only. It is stictly confidential, your insurance agent/company will not be contacted by us.

**Who will be responsible for your repairs?:

My insurance
Their insurance
Other:
I don't know

Has an Insurance Co. written an estimate?:

Yes
No

Name of your Insurance Co:

Name of your insurance agent:

Name of other party's Insurance Co:

Is this a request for an appointment or an estimate?

Would you like us to repair your vehicle?:

Yes
No
I don't know

Will you require a rental car during the repairs?:

Yes
No

Do you have special concerns:

Yes
No

How did you hear about us?:

Please indicate your preferences for appointment scheduling:

Weekdays Saturdays

Special Requests or Comments:

Testimonials
See what some of our customers have to say...

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Hours:
7:30am - 6pm Mon-Fri
8:00am - 12pm Saturday

Butterfield Bodyworks CARSTAR
1066 Campus Drive
Mundelein, IL 60060 Phone: 847-367-1500
Fax: 847-367-1580

e-mail:
www.carstarmundelein.com

Directions: Corner of Butterfield Road and Campus Drive, north of Route 60, south of Route 176

Copyright © January 1, 2003-