Auto Glass: Online Quote Form

Ray Sands Glass retailer serving the greater metropolitan Rochester, NY and Canandaigua, NY areas with all their glass needs. (Up to a 50 mi. radius) We cannot provide pricing for auto glass replacement outside our glass service areas.

All information submitted on this site will be kept private and confidential, it will be used only for
in-house glass quote processing.

Required Fields *

 

Personal Information:

  
  First Name*:  
  Last Name*:  
  Street Address*:  
  City*:  
  State:   NY Only
  Zip Code*:  
  Email Address*:  
  Phone*:  

 
 

              Vehicle Information:
  Vehicle Year:
  Make:
  Model:
    2 door / Coupe
2 Door Convertible
2 Door Hatchback
4 door / Sedan
4 Door Station Wagon
SUV / Minivan
Truck - Regular Cab
Truck - Extended Cab
Truck - Crew Cab
  Which glass/window is damaged:
  If front windshield is selected, please check all that apply:
  Shaded Windshield
  Rain Sensor
  Heads Up Display
  Heated Windshield
     
  Method of Payment:
   
 

We will call you back and can give you a quote over the phone.
 
  How did you hear about us?:
 
 

Special Instructions:  Please use this area to provide us with your insurance company name, agent and policy number if  your are scheduling an appointment and submitting an insurance claim.
 

 

 
              

Get a Panorama Quote Now! or Get a Tint Quote Now!