Project Info Request Form – Glass Savers | Scratched Glass Repair| Acid Etch Glass Graffiti Removal

Save and Continue Later

Job Address*
Street Address Address Line 2 City State ZIP Code

Where is this project located?
Residential/commercial?*
Is this a new (or active) construction project?

Save and Continue Later

Number of windows that require resurfacing (If 1 window is scratched on both sides, count it as 2)*
Approximate total square footage of the glass (total area, not just the scratches)*
What caused the damage?*
is the damage limited to 1 small area, or are there multiple scratches on each window?
Is the damage inside or outside?*
Type of glass*
Is a ladder/scaffolding needed?*
Is the residence/building occupied?*
If you have photos, please attach them here:
Drop files here or

Max. file size: 512 MB.
Additional Comments

Save and Continue Later

Does this need to be completed by a specific date?*
- Yes
- No, we aren't in a rush
How soon do you need this completed?*
MM slash DD slash YYYY
Who is responsible for payment?*
Additional Comments

Save and Continue Later