Book a glass repair job online with Express Glass for emergency glass replacement

Book a Job online

Please fill in the information below to book a job online. You can book a glass repair or any other regular hours glazing works online at anytime using this form.

An Express Glass representative will call you to confirm availability.

You will be contacted between 7.00 am – 6.00 pm on MONDAY to FRIDAY ONLY.

For glass replacement emergencies please call 1300 666 234 immediately.

*denotes a required field.

Customer Details
Title
First Name*
Surname*
Company Name
Street Address*
Suburb*
State*
Postcode*
Phone Number*
Email Address*

 


 

Job Details same as customer details
Title
First Name
Surname
Company Name
Street Address
Suburb
State
Postcode
Phone Number
Email Address

 


 

Appointment Details
Preferred Date
Preferred Time 8am - 12pm 12pm - 4pm
Other Info

 


 

Services Required
Repair Broken Window
Repair Broken Door
Repair Shop Front
Other

 


 

Have you used Express Glass before? Yes No
Would you like us to bill your Insurance Company? Yes No
Insurance Company
Policy Number
Excess Amount

 

 

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