www.seminoletoyota.com Open in urlscan Pro
2a02:26f0:3500:1b::1724:a389  Public Scan

Submitted URL: http://davidmaustoyotacollisioncenter.com/
Effective URL: https://www.seminoletoyota.com/bodyshop/index.htm
Submission: On June 23 via manual from US — Scanned from DE

Form analysis 14 forms found in the DOM

GET /all-inventory/index.htm

<form action="/all-inventory/index.htm" method="get" class=" validate form-default" role="form" data-form-tracking-id="INVENTORY_SEARCH" data-form-tracking-type="typedSearch" data-form-tracking-name="inventory-search" aria-label="inventory-search"
  ddc.form.onpage="true" data-email-required="false" data-phone-required="false" novalidate="novalidate">
  <div class="form-group">
    <input type="search" name="search" pattern="(^$)|(^.*(\S+).*$)" aria-required="true" placeholder="Search Inventory" class="search form-control required" required="true" data-id="" value="" aria-label="Search our inventory">
  </div><!-- end .form-group -->
  <button class="btn btn-primary btn-sm ui-button-submit btn-no-decoration pull-left" type="submit" aria-label="Search our inventory..."> Search </button>
</form>

<form class="mycars-form register-form" id="mycars-register-form-login" data-form-tracking-id="MYCARS_REGISTER" data-mycars-form-tracking-id="MYCARS_REGISTER">
  <div class="error-text"></div>
  <input class="mycars-form-textfield first" type="text" name="contact.firstName" placeholder="First Name*" required="" autocomplete="given-name" aria-label="First Name*">
  <input class="mycars-form-textfield last" type="text" name="contact.lastName" placeholder="Last Name*" required="" autocomplete="family-name" aria-label="Last Name*">
  <input class="mycars-form-textfield email" type="email" name="contact.email" placeholder="Email Address*" required="" pattern="[^@]+@[^@]+\.[a-zA-Z]{2,6}" autocomplete="email" aria-label="Email Address*">
  <input class="mycars-form-textfield password" maxlength="20" data-toggle="popover" data-placement="right" data-trigger="focus" data-html="true"
    data-content="<ul class='list-unstyled password-requirements-list'><li class='character-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> 6 or more characters</li><li class='numerical-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> At least 1 number</li><li class='uppercase-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> An uppercase letter</li><li class='lowercase-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> A lower case letter</li><li class='match-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> Confirm Password</li></ul> "
    data-container=".mycars-default .popup.login-container" type="password" name="contact.password" placeholder="Create Password*" required="" pattern="(?=.*\d)(?=.*[a-z])(?=.*[A-Z])[\w!&quot;#\$%&amp;'\(\)\*\+,-\./:;<=>\?@\[\]\^_`\{\|}~\\]{6,}"
    data-initialized="true" data-original-title="" title="" aria-label="Create Password*">
  <input class="mycars-form-textfield password-confirm" maxlength="20" data-toggle="popover" data-placement="right" data-trigger="focus" data-html="true"
    data-content="<ul class='list-unstyled password-requirements-list'><li class='character-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> 6 or more characters</li><li class='numerical-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> At least 1 number</li><li class='uppercase-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> An uppercase letter</li><li class='lowercase-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> A lower case letter</li><li class='match-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> Confirm Password</li></ul> "
    data-container=".mycars-default .popup.login-container" type="password" name="contact.passwordConfirm" placeholder="Confirm Password*" required=""
    pattern="(?=.*\d)(?=.*[a-z])(?=.*[A-Z])[\w!&quot;#\$%&amp;'\(\)\*\+,-\./:;<=>\?@\[\]\^_`\{\|}~\\]{6,}" data-initialized="true" data-original-title="" title="" aria-label="Confirm Password*">
  <input type="submit" disabled="" class="mycars-form-btn disabled" value="Sign Up Now!">
  <input class="hidden" type="hidden" name="formEventId" value="9e182e776da0421ead3a4513761afc41">
</form>

<form class="mycars-form forgot-password-form" data-mycars-form-tracking-id="MYCARS_FORGOT_PASSWORD">
  <div class="error-text"></div>
  <input class="mycars-form-textfield email" type="email" name="contact.email" placeholder="Email Address*" required="" pattern="[^@]+@[^@]+\.[a-zA-Z]{2,6}" autocomplete="email" aria-label="Email Address*">
  <input type="submit" class="mycars-form-btn" value="Request Password Reset">
  <input class="hidden" type="hidden" name="formEventId" value="dc9a4ae8e19b427398dcbbdb2d4143bd">
</form>

<form class="mycars-form login-form" data-mycars-form-tracking-id="MYCARS_LOGIN">
  <div class="error-text"></div>
  <input class="mycars-form-textfield email" type="email" name="contact.email" placeholder="Email Address*" required="" pattern="[^@]+@[^@]+\.[a-zA-Z]{2,6}" autocomplete="email" aria-label="Email Address*">
  <input class="mycars-form-textfield password" type="password" name="contact.password" placeholder="Password*" required="" aria-label="Password*">
  <input type="submit" class="mycars-form-btn" value="Log In">
  <input class="hidden" type="hidden" name="formEventId" value="d0743a27f5864d909636388275ffdad4">
</form>

<form class="mycars-form register-form" id="mycars-register-form-registerWrapperRecent" data-form-tracking-id="MYCARS_REGISTER" data-mycars-form-tracking-id="MYCARS_REGISTER">
  <div class="error-text"></div>
  <input class="mycars-form-textfield first" type="text" name="contact.firstName" placeholder="First Name*" required="" autocomplete="given-name" aria-label="First Name*">
  <input class="mycars-form-textfield last" type="text" name="contact.lastName" placeholder="Last Name*" required="" autocomplete="family-name" aria-label="Last Name*">
  <input class="mycars-form-textfield email" type="email" name="contact.email" placeholder="Email Address*" required="" pattern="[^@]+@[^@]+\.[a-zA-Z]{2,6}" autocomplete="email" aria-label="Email Address*">
  <input class="mycars-form-textfield password" maxlength="20" data-toggle="popover" data-placement="right" data-trigger="focus" data-html="true"
    data-content="<ul class='list-unstyled password-requirements-list'><li class='character-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> 6 or more characters</li><li class='numerical-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> At least 1 number</li><li class='uppercase-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> An uppercase letter</li><li class='lowercase-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> A lower case letter</li><li class='match-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> Confirm Password</li></ul> "
    data-container=".mycars-default .popup.recent-cars" type="password" name="contact.password" placeholder="Create Password*" required="" pattern="(?=.*\d)(?=.*[a-z])(?=.*[A-Z])[\w!&quot;#\$%&amp;'\(\)\*\+,-\./:;<=>\?@\[\]\^_`\{\|}~\\]{6,}"
    data-initialized="true" data-original-title="" title="" aria-label="Create Password*">
  <input class="mycars-form-textfield password-confirm" maxlength="20" data-toggle="popover" data-placement="right" data-trigger="focus" data-html="true"
    data-content="<ul class='list-unstyled password-requirements-list'><li class='character-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> 6 or more characters</li><li class='numerical-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> At least 1 number</li><li class='uppercase-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> An uppercase letter</li><li class='lowercase-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> A lower case letter</li><li class='match-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> Confirm Password</li></ul> "
    data-container=".mycars-default .popup.recent-cars" type="password" name="contact.passwordConfirm" placeholder="Confirm Password*" required="" pattern="(?=.*\d)(?=.*[a-z])(?=.*[A-Z])[\w!&quot;#\$%&amp;'\(\)\*\+,-\./:;<=>\?@\[\]\^_`\{\|}~\\]{6,}"
    data-initialized="true" data-original-title="" title="" aria-label="Confirm Password*">
  <input type="submit" disabled="" class="mycars-form-btn disabled" value="Sign Up Now!">
  <input class="hidden" type="hidden" name="formEventId" value="737ac9b8a1f54939ba67e8e8e99d5750">
</form>

GET /all-inventory/compare.htm

<form class="mycars-compare-form" method="get" action="/all-inventory/compare.htm">
  <input type="submit" class="mycars-form-btn compare-btn disabled" data-mycars-compare-btn="" value="Compare Selected">
  <input type="hidden" name="mycarsr" value="compare-recent-cars">
  <input type="hidden" name="itemIds">
  <input class="hidden" type="hidden" name="formEventId" value="75671544203c44b8bb50f8a55f5f8436">
</form>

<form class="mycars-form register-form" id="mycars-register-form-registerWrapperSaved" data-form-tracking-id="MYCARS_REGISTER" data-mycars-form-tracking-id="MYCARS_REGISTER">
  <div class="error-text"></div>
  <input class="mycars-form-textfield first" type="text" name="contact.firstName" placeholder="First Name*" required="" autocomplete="given-name" aria-label="First Name*">
  <input class="mycars-form-textfield last" type="text" name="contact.lastName" placeholder="Last Name*" required="" autocomplete="family-name" aria-label="Last Name*">
  <input class="mycars-form-textfield email" type="email" name="contact.email" placeholder="Email Address*" required="" pattern="[^@]+@[^@]+\.[a-zA-Z]{2,6}" autocomplete="email" aria-label="Email Address*">
  <input class="mycars-form-textfield password" maxlength="20" data-toggle="popover" data-placement="right" data-trigger="focus" data-html="true"
    data-content="<ul class='list-unstyled password-requirements-list'><li class='character-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> 6 or more characters</li><li class='numerical-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> At least 1 number</li><li class='uppercase-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> An uppercase letter</li><li class='lowercase-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> A lower case letter</li><li class='match-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> Confirm Password</li></ul> "
    data-container=".mycars-default .popup.saved-cars" type="password" name="contact.password" placeholder="Create Password*" required="" pattern="(?=.*\d)(?=.*[a-z])(?=.*[A-Z])[\w!&quot;#\$%&amp;'\(\)\*\+,-\./:;<=>\?@\[\]\^_`\{\|}~\\]{6,}"
    data-initialized="true" data-original-title="" title="" aria-label="Create Password*">
  <input class="mycars-form-textfield password-confirm" maxlength="20" data-toggle="popover" data-placement="right" data-trigger="focus" data-html="true"
    data-content="<ul class='list-unstyled password-requirements-list'><li class='character-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> 6 or more characters</li><li class='numerical-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> At least 1 number</li><li class='uppercase-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> An uppercase letter</li><li class='lowercase-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> A lower case letter</li><li class='match-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> Confirm Password</li></ul> "
    data-container=".mycars-default .popup.saved-cars" type="password" name="contact.passwordConfirm" placeholder="Confirm Password*" required="" pattern="(?=.*\d)(?=.*[a-z])(?=.*[A-Z])[\w!&quot;#\$%&amp;'\(\)\*\+,-\./:;<=>\?@\[\]\^_`\{\|}~\\]{6,}"
    data-initialized="true" data-original-title="" title="" aria-label="Confirm Password*">
  <input type="submit" disabled="" class="mycars-form-btn disabled" value="Sign Up Now!">
  <input class="hidden" type="hidden" name="formEventId" value="c8a5d3127ba940a8aac952c72d5ba9dc">
</form>

GET /all-inventory/compare.htm

<form class="mycars-compare-form" method="get" action="/all-inventory/compare.htm">
  <input type="submit" class="mycars-form-btn compare-btn disabled" data-mycars-compare-btn="" value="Compare Selected">
  <input type="hidden" name="mycarsr" value="compare-saved-cars">
  <input type="hidden" name="itemIds">
  <input class="hidden" type="hidden" name="formEventId" value="1dacf6dafaab466096620187947a30d3">
</form>

<form class="mycars-form register-form" id="mycars-register-form-register" data-form-tracking-id="MYCARS_REGISTER" data-mycars-form-tracking-id="MYCARS_REGISTER">
  <div class="error-text"></div>
  <input class="mycars-form-textfield first" type="text" name="contact.firstName" placeholder="First Name*" required="" autocomplete="given-name" aria-label="First Name*">
  <input class="mycars-form-textfield last" type="text" name="contact.lastName" placeholder="Last Name*" required="" autocomplete="family-name" aria-label="Last Name*">
  <input class="mycars-form-textfield email" type="email" name="contact.email" placeholder="Email Address*" required="" pattern="[^@]+@[^@]+\.[a-zA-Z]{2,6}" autocomplete="email" aria-label="Email Address*">
  <input class="mycars-form-textfield password" maxlength="20" data-toggle="popover" data-placement="right" data-trigger="focus" data-html="true"
    data-content="<ul class='list-unstyled password-requirements-list'><li class='character-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> 6 or more characters</li><li class='numerical-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> At least 1 number</li><li class='uppercase-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> An uppercase letter</li><li class='lowercase-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> A lower case letter</li><li class='match-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> Confirm Password</li></ul> "
    data-container=".mycars-default .popup.price-alerts" type="password" name="contact.password" placeholder="Create Password*" required="" pattern="(?=.*\d)(?=.*[a-z])(?=.*[A-Z])[\w!&quot;#\$%&amp;'\(\)\*\+,-\./:;<=>\?@\[\]\^_`\{\|}~\\]{6,}"
    data-initialized="true" data-original-title="" title="" aria-label="Create Password*">
  <input class="mycars-form-textfield password-confirm" maxlength="20" data-toggle="popover" data-placement="right" data-trigger="focus" data-html="true"
    data-content="<ul class='list-unstyled password-requirements-list'><li class='character-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> 6 or more characters</li><li class='numerical-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> At least 1 number</li><li class='uppercase-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> An uppercase letter</li><li class='lowercase-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> A lower case letter</li><li class='match-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> Confirm Password</li></ul> "
    data-container=".mycars-default .popup.price-alerts" type="password" name="contact.passwordConfirm" placeholder="Confirm Password*" required="" pattern="(?=.*\d)(?=.*[a-z])(?=.*[A-Z])[\w!&quot;#\$%&amp;'\(\)\*\+,-\./:;<=>\?@\[\]\^_`\{\|}~\\]{6,}"
    data-initialized="true" data-original-title="" title="" aria-label="Confirm Password*">
  <input type="submit" disabled="" class="mycars-form-btn disabled" value="Sign Up Now!">
  <input class="hidden" type="hidden" name="formEventId" value="f8038523fab34285b9252fe3e5b218b1">
</form>

POST /form/confirm.htm?formId=vtmaustoyota_9fc92acd7aea46f0a698a82a0ee19f6e&formEventId=65bbef10840743e9be7f8287931e35e6&pageAlias=BODYSHOP_LEAD&formTrackingName=contact

<form action="/form/confirm.htm?formId=vtmaustoyota_9fc92acd7aea46f0a698a82a0ee19f6e&amp;formEventId=65bbef10840743e9be7f8287931e35e6&amp;pageAlias=BODYSHOP_LEAD&amp;formTrackingName=contact" method="post" class="validate  form-horizontal"
  charset="utf8" role="form" data-form-id="xb5t1dd6" data-form-tracking-id="9fc92acd7aea46f0a698a82a0ee19f6e" data-form-tracking-name="contact" aria-label="Repair Authorization" ddc.form.onpage="true" data-email-required="false"
  data-phone-required="true" novalidate="novalidate">
  <input type="hidden" name="_action" class="hidden" data-id="" value="SubmitGenericLead">
  <input type="hidden" name="formId" class="hidden" data-id="" value="vtmaustoyota_9fc92acd7aea46f0a698a82a0ee19f6e">
  <input type="hidden" name="form.id" class="hidden" data-id="" value="9fc92acd7aea46f0a698a82a0ee19f6e">
  <input type="hidden" name="formEventId" class="hidden" data-id="" value="65bbef10840743e9be7f8287931e35e6">
  <fieldset>
    <h2>AUTHORIZATION FORM<em aria-hidden="true">*</em></h2>
    <input type="hidden" name="accountId" id="d676b8edd76044bd8086e16746a2db75-accountId" class="hidden" data-id="accountId" value="vtmaustoyota">
    <div class="form-group">
      <label for="d676b8edd76044bd8086e16746a2db75-contact.firstName" class="ddc-span4 name contact-firstName">
        <span>First Name<em aria-hidden="true">*</em></span>
      </label>
      <div class="ddc-span8">
        <input type="text" name="contact.firstName" pattern="(^$)|(^[a-zA-Z\u00C0-\u00D6\u00D8-\u00F6\u00F8-\u00FF][-a-zA-Z.' \u00C0-\u00D6\u00D8-\u00F6\u00F8-\u00FF]{1,}$)" aria-required="true" id="d676b8edd76044bd8086e16746a2db75-contact.firstName"
          class="text form-control required" required="true" data-id="contact.firstName" value="" aria-label="" autocomplete="given-name">
      </div>
    </div><!-- end .form-group -->
    <div class="form-group">
      <label for="d676b8edd76044bd8086e16746a2db75-contact.lastName" class="ddc-span4 name contact-lastName">
        <span>Last Name<em aria-hidden="true">*</em></span>
      </label>
      <div class="ddc-span8">
        <input type="text" name="contact.lastName" pattern="(^$)|(^[a-zA-Z\u00C0-\u00D6\u00D8-\u00F6\u00F8-\u00FF][-a-zA-Z.' \u00C0-\u00D6\u00D8-\u00F6\u00F8-\u00FF]{1,}$)" aria-required="true" id="d676b8edd76044bd8086e16746a2db75-contact.lastName"
          class="text form-control required" required="true" data-id="contact.lastName" value="" aria-label="" autocomplete="family-name">
      </div>
    </div><!-- end .form-group -->
    <div class="form-group">
      <label for="d676b8edd76044bd8086e16746a2db75-contact.email.sep" class="ddc-span4 email contact-email-sep">
        <span>Email<em aria-hidden="true">*</em></span>
      </label>
      <div class="ddc-span8">
        <input type="email" name="contact.email.sep" pattern="(^$)|(^.*(\S+).*$)" aria-required="true" id="d676b8edd76044bd8086e16746a2db75-contact.email.sep" class="email form-control required" required="true" data-id="contact.email.sep" value=""
          aria-label="" autocomplete="email">
      </div>
    </div><!-- end .form-group -->
    <div class="form-group">
      <label for="d676b8edd76044bd8086e16746a2db75-Telephone" class="ddc-span4 select Telephone">
        <span> Telephone<em aria-hidden="true">*</em> </span>
      </label>
      <div class="ddc-span8">
        <select name="_custom=FIELD_SELECT_454713B928F64C6CA19521A5C3B08B61=0=Telephone" aria-required="true" data-id="Telephone" id="d676b8edd76044bd8086e16746a2db75-Telephone" class="form-control select required" required="required" aria-label="">
          <option value="">Please Select</option>
          <option value="Home Phone">Home Phone</option>
          <option value="Cell Phone">Cell Phone</option>
        </select>
      </div>
    </div><!-- end form-group -->
    <div class="form-group">
      <label for="d676b8edd76044bd8086e16746a2db75-contact.phone.sep" class="ddc-span4 phone contact-phone-sep">
        <span>Cell Phone<em aria-hidden="true">*</em></span>
      </label>
      <div class="ddc-span8">
        <input type="tel" name="contact.phone.sep" pattern="(^$)|(^\+?[1]?[-. ]?\(?[\d]{3}\)?[-. ]?[\d]{3}[-. ]?[\d]{4}[ a-zA-Z0-9.:]{0,20}$)" aria-required="true" id="d676b8edd76044bd8086e16746a2db75-contact.phone.sep"
          class="tel form-control required" required="true" data-id="contact.phone.sep" value="" aria-label="" autocomplete="tel">
      </div>
    </div><!-- end .form-group -->
    <div class="form-group">
      <label for="d676b8edd76044bd8086e16746a2db75-Available for Text Updates?" class="ddc-span4 select Available for Text Updates?">
        <span> Available for Text Updates?<em aria-hidden="true">*</em> </span>
      </label>
      <div class="ddc-span8">
        <select name="_custom=FIELD_SELECT_E194D31E37ED42B7B99A2D442608080B=0=Available for Text Updates?" aria-required="true" data-id="Available for Text Updates?" id="d676b8edd76044bd8086e16746a2db75-Available for Text Updates?"
          class="form-control select required" required="required" aria-label="">
          <option value="">Please Select</option>
          <option value="YES">YES</option>
          <option value="NO">NO</option>
        </select>
      </div>
    </div><!-- end form-group -->
  </fieldset>
  <fieldset>
    <div class="alert-info  alert">
      <i aria-hidden="true" class="ddc-icon ddc-icon-circle-check align-left"></i>
      <h1 role="heading" aria-level="2">I agree to receive text messages from Seminole Toyota Collision. I understand that message and data rates may apply.</h1>
    </div>
  </fieldset>
  <fieldset>
    <h2>VEHICLE INFORMATION<em aria-hidden="true">*</em></h2>
    <div class="form-group">
      <label for="d676b8edd76044bd8086e16746a2db75-YEAR" class="ddc-span4 text YEAR">
        <span>Year<em aria-hidden="true">*</em></span>
      </label>
      <div class="ddc-span8">
        <input type="text" name="_custom=YEAR=0=Year" pattern="(^$)|(^.*(\S+).*$)" aria-required="true" id="d676b8edd76044bd8086e16746a2db75-YEAR" class="text form-control required" required="true" data-id="YEAR" value="" aria-label="">
      </div>
    </div><!-- end .form-group -->
    <div class="form-group">
      <label for="d676b8edd76044bd8086e16746a2db75-MAKE" class="ddc-span4 text MAKE">
        <span>Make<em aria-hidden="true">*</em></span>
      </label>
      <div class="ddc-span8">
        <input type="text" name="_custom=MAKE=0=Make" pattern="(^$)|(^.*(\S+).*$)" aria-required="true" id="d676b8edd76044bd8086e16746a2db75-MAKE" class="text form-control required" required="true" data-id="MAKE" value="" aria-label="">
      </div>
    </div><!-- end .form-group -->
    <div class="form-group">
      <label for="d676b8edd76044bd8086e16746a2db75-MODEL" class="ddc-span4 text MODEL">
        <span>Model<em aria-hidden="true">*</em></span>
      </label>
      <div class="ddc-span8">
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  <fieldset>
    <div class="form-group">
      <span class="ddc-span12 required group-required">
        <strong id="ae_js_radDescripSide0"> AUTORIZATION_TO_REPAIR_CHECKBOX2<em aria-hidden="true">*</em> </strong>
        <label checkbox-group-validation-error="" role="presentation" aria-hidden="true" tabindex="-1"></label>
        <div class="ddc-offset4 ddc-span8">
          <div class="checkbox">
            <label for="d676b8edd76044bd8086e16746a2db75-ARBITRATION AUTORIZATION_TO_REPAIR">
              <input type="checkbox" name="_custom=AUTORIZATION_TO_REPAIR_CHECKBOX2=0=ARBITRATION AUTORIZATION_TO_REPAIR"
                data-seminole-toyota-collision-will-not-be-held-responsible-for-any-loss-or-damage-to-vehicle-or-articles-left-in-the-vehicle-in-case-of-fire-theft-accident-or-any-other-cause-that-is-not-due-to-the-negligence-of-seminole-toyota-collision-or-its-employees-="FIELD_OPTION_C4703C5FE29E4FC9870F83A555A777C1"
                data-seminole-toyota-collision-will-dispose-of-old-parts-removed-from-the-vehicle-unless-otherwise-instructed-i-understand-that-a-15%-parts-restocking-fee-may-be-charged-to-me-should-i-fail-to-keep-my-appointment-within-30-days-="FIELD_OPTION_EBA8991B28BF48FB8C58C844F01C1327"
                data-i-hereby-grant-seminole-toyota-collision-employees-permission-to-operate-the-vehicle-on-streets-highways-or-elsewhere-for-purposes-of-testing-andor-inspection--an-express-mechanics-lien-is-hereby-acknowledged-on-the-vehicle-to-secure-the-amount-of-repairs-="FIELD_OPTION_8D1852CD80AF46D1BBDE041A5B9EDFDE"
                data-i-hereby-authorize-seminole-toyota-collision-center-to-make-the-specified-repairs-i-understand-that-full-payment-will-be-due-upon-release-of-the-vehicle-including-additional-supplement-damage-charges-="FIELD_OPTION_E67629496C4B419AA9C8F02E0706DBE3"
                data-required-group="true" id="d676b8edd76044bd8086e16746a2db75-ARBITRATION AUTORIZATION_TO_REPAIR" class="checkbox" data-id="ARBITRATION AUTORIZATION_TO_REPAIR"
                value="I hereby authorize Seminole Toyota Collision Center to make the specified repairs. I understand that FULL payment will be due upon release of the vehicle, including additional supplement damage charges."
                aria-describedby="ae_js_radDescripSide0">
              <span>I hereby authorize Seminole Toyota Collision Center to make the specified repairs. I understand that FULL payment will be due upon release of the vehicle, including additional supplement damage charges.</span>
            </label>
          </div><!-- end .form-group -->
        </div>
        <div class="ddc-offset4 ddc-span8">
          <div class="checkbox">
            <label>
              <input type="checkbox" name="_custom=AUTORIZATION_TO_REPAIR_CHECKBOX2=0=ARBITRATION AUTORIZATION_TO_REPAIR"
                data-seminole-toyota-collision-will-not-be-held-responsible-for-any-loss-or-damage-to-vehicle-or-articles-left-in-the-vehicle-in-case-of-fire-theft-accident-or-any-other-cause-that-is-not-due-to-the-negligence-of-seminole-toyota-collision-or-its-employees-="FIELD_OPTION_C4703C5FE29E4FC9870F83A555A777C1"
                data-seminole-toyota-collision-will-dispose-of-old-parts-removed-from-the-vehicle-unless-otherwise-instructed-i-understand-that-a-15%-parts-restocking-fee-may-be-charged-to-me-should-i-fail-to-keep-my-appointment-within-30-days-="FIELD_OPTION_EBA8991B28BF48FB8C58C844F01C1327"
                data-i-hereby-grant-seminole-toyota-collision-employees-permission-to-operate-the-vehicle-on-streets-highways-or-elsewhere-for-purposes-of-testing-andor-inspection--an-express-mechanics-lien-is-hereby-acknowledged-on-the-vehicle-to-secure-the-amount-of-repairs-="FIELD_OPTION_8D1852CD80AF46D1BBDE041A5B9EDFDE"
                data-i-hereby-authorize-seminole-toyota-collision-center-to-make-the-specified-repairs-i-understand-that-full-payment-will-be-due-upon-release-of-the-vehicle-including-additional-supplement-damage-charges-="FIELD_OPTION_E67629496C4B419AA9C8F02E0706DBE3"
                data-required-group="true" class="checkbox" data-id="ARBITRATION AUTORIZATION_TO_REPAIR"
                value="I hereby grant Seminole Toyota Collision employees permission to operate the vehicle on streets, highways or elsewhere for purposes of testing and/or inspection. An express mechanics lien is hereby acknowledged on the vehicle to secure the amount of repairs."
                aria-describedby="ae_js_radDescripSide0">
              <span>I hereby grant Seminole Toyota Collision employees permission to operate the vehicle on streets, highways or elsewhere for purposes of testing and/or inspection. An express mechanics lien is hereby acknowledged on the vehicle to
                secure the amount of repairs.</span>
            </label>
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        <div class="ddc-offset4 ddc-span8">
          <div class="checkbox">
            <label>
              <input type="checkbox" name="_custom=AUTORIZATION_TO_REPAIR_CHECKBOX2=0=ARBITRATION AUTORIZATION_TO_REPAIR"
                data-seminole-toyota-collision-will-not-be-held-responsible-for-any-loss-or-damage-to-vehicle-or-articles-left-in-the-vehicle-in-case-of-fire-theft-accident-or-any-other-cause-that-is-not-due-to-the-negligence-of-seminole-toyota-collision-or-its-employees-="FIELD_OPTION_C4703C5FE29E4FC9870F83A555A777C1"
                data-seminole-toyota-collision-will-dispose-of-old-parts-removed-from-the-vehicle-unless-otherwise-instructed-i-understand-that-a-15%-parts-restocking-fee-may-be-charged-to-me-should-i-fail-to-keep-my-appointment-within-30-days-="FIELD_OPTION_EBA8991B28BF48FB8C58C844F01C1327"
                data-i-hereby-grant-seminole-toyota-collision-employees-permission-to-operate-the-vehicle-on-streets-highways-or-elsewhere-for-purposes-of-testing-andor-inspection--an-express-mechanics-lien-is-hereby-acknowledged-on-the-vehicle-to-secure-the-amount-of-repairs-="FIELD_OPTION_8D1852CD80AF46D1BBDE041A5B9EDFDE"
                data-i-hereby-authorize-seminole-toyota-collision-center-to-make-the-specified-repairs-i-understand-that-full-payment-will-be-due-upon-release-of-the-vehicle-including-additional-supplement-damage-charges-="FIELD_OPTION_E67629496C4B419AA9C8F02E0706DBE3"
                data-required-group="true" class="checkbox" data-id="ARBITRATION AUTORIZATION_TO_REPAIR"
                value="Seminole Toyota Collision will dispose of old parts removed from the vehicle unless otherwise instructed. I understand that a 15% parts restocking fee may be charged to me should I fail to keep my appointment within 30 days."
                aria-describedby="ae_js_radDescripSide0">
              <span>Seminole Toyota Collision will dispose of old parts removed from the vehicle unless otherwise instructed. I understand that a 15% parts restocking fee may be charged to me should I fail to keep my appointment within 30
                days.</span>
            </label>
          </div><!-- end .form-group -->
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        <div class="ddc-offset4 ddc-span8">
          <div class="checkbox">
            <label>
              <input type="checkbox" name="_custom=AUTORIZATION_TO_REPAIR_CHECKBOX2=0=ARBITRATION AUTORIZATION_TO_REPAIR"
                data-seminole-toyota-collision-will-not-be-held-responsible-for-any-loss-or-damage-to-vehicle-or-articles-left-in-the-vehicle-in-case-of-fire-theft-accident-or-any-other-cause-that-is-not-due-to-the-negligence-of-seminole-toyota-collision-or-its-employees-="FIELD_OPTION_C4703C5FE29E4FC9870F83A555A777C1"
                data-seminole-toyota-collision-will-dispose-of-old-parts-removed-from-the-vehicle-unless-otherwise-instructed-i-understand-that-a-15%-parts-restocking-fee-may-be-charged-to-me-should-i-fail-to-keep-my-appointment-within-30-days-="FIELD_OPTION_EBA8991B28BF48FB8C58C844F01C1327"
                data-i-hereby-grant-seminole-toyota-collision-employees-permission-to-operate-the-vehicle-on-streets-highways-or-elsewhere-for-purposes-of-testing-andor-inspection--an-express-mechanics-lien-is-hereby-acknowledged-on-the-vehicle-to-secure-the-amount-of-repairs-="FIELD_OPTION_8D1852CD80AF46D1BBDE041A5B9EDFDE"
                data-i-hereby-authorize-seminole-toyota-collision-center-to-make-the-specified-repairs-i-understand-that-full-payment-will-be-due-upon-release-of-the-vehicle-including-additional-supplement-damage-charges-="FIELD_OPTION_E67629496C4B419AA9C8F02E0706DBE3"
                data-required-group="true" class="checkbox" data-id="ARBITRATION AUTORIZATION_TO_REPAIR"
                value="SEMINOLE TOYOTA COLLISION WILL NOT BE HELD RESPONSIBLE FOR ANY LOSS OR DAMAGE TO VEHICLE OR ARTICLES LEFT IN THE VEHICLE IN CASE OF FIRE, THEFT, ACCIDENT OR ANY OTHER CAUSE THAT IS NOT DUE TO THE NEGLIGENCE OF SEMINOLE TOYOTA COLLISION OR ITS EMPLOYEES."
                aria-describedby="ae_js_radDescripSide0">
              <span>SEMINOLE TOYOTA COLLISION WILL NOT BE HELD RESPONSIBLE FOR ANY LOSS OR DAMAGE TO VEHICLE OR ARTICLES LEFT IN THE VEHICLE IN CASE OF FIRE, THEFT, ACCIDENT OR ANY OTHER CAUSE THAT IS NOT DUE TO THE NEGLIGENCE OF SEMINOLE TOYOTA
                COLLISION OR ITS EMPLOYEES.</span>
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  <fieldset>
    <h2>POWER OF ATTORNEY<em aria-hidden="true">*</em></h2>
    <div class="form-group">
      <span class="ddc-span12 required group-required">
        <strong id="ae_js_radDescripSide1"> Please Check<em aria-hidden="true">*</em> </strong>
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              <input type="checkbox" name="_custom=FIELD_CHECKBOXGROUP_18449E240ABA42BBB2C51415DF3D4F42=0=Power of Attorney"
                data-i-do-hereby-appoint-seminole-toyota-collision-to-act-as-power-of-attorney-in-the-fact-to-accept-on-my-behalf-any-and-all-checks-drafts-bills-and-to-all-such-credit-on-my-account-for-repairs-to-my-vehicle-i-authorize-any-and-all-supplemental-charges-to-be-made-payable-to-seminole-toyota-collision-="FIELD_OPTION_B9A07AFE4E754E1AB75AE10485D10CAF"
                data-required-group="true" id="d676b8edd76044bd8086e16746a2db75-Power of Attorney" class="checkbox" data-id="Power of Attorney"
                value="I do hereby appoint Seminole Toyota Collision to act as Power of Attorney in the fact to accept on my behalf any and all checks, drafts, bills and to all such credit on my account for repairs to my vehicle. I authorize any and all supplemental charges to be made payable to Seminole Toyota Collision."
                aria-describedby="ae_js_radDescripSide1">
              <span>I do hereby appoint Seminole Toyota Collision to act as Power of Attorney in the fact to accept on my behalf any and all checks, drafts, bills and to all such credit on my account for repairs to my vehicle. I authorize any and all
                supplemental charges to be made payable to Seminole Toyota Collision.</span>
            </label>
          </div><!-- end .form-group -->
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  <fieldset>
    <h2>VEHICLE RELEASE POLICY<em aria-hidden="true">*</em></h2>
    <div class="form-group">
      <span class="ddc-span12 required group-required">
        <strong id="ae_js_radDescripSide2"> Please Check<em aria-hidden="true">*</em> </strong>
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          <div class="checkbox">
            <label for="d676b8edd76044bd8086e16746a2db75-Vehicle Release Policy">
              <input type="checkbox" name="_custom=FIELD_CHECKBOXGROUP_E7DBBD5A7FCD4674B200CDF7E561FE5A=0=Vehicle Release Policy"
                data-i-have-read-and-understood-seminole-toyota-collision-release-policy-="FIELD_OPTION_BC27B9734CF54C0889739EE2979F7036"
                data-all-repairs-must-be-paid-in-full-prior-to-vehicle-release-(unless-arrangements-were-made-)-all-deductibles-are-made-payable-to-seminole-toyota-collision--two-and-three-party-checks-must-be-endorsed-by-all-parties-prior-to-vehicle-being-released-="FIELD_OPTION_5980DB6B718748929FDB2D69D88751A8"
                data-required-group="true" id="d676b8edd76044bd8086e16746a2db75-Vehicle Release Policy" class="checkbox" data-id="Vehicle Release Policy"
                value="All repairs must be paid in full prior to vehicle release (unless arrangements were made.) All deductibles are made payable to Seminole Toyota Collision. Two and Three party checks must be endorsed by ALL parties prior to vehicle being released."
                aria-describedby="ae_js_radDescripSide2">
              <span>All repairs must be paid in full prior to vehicle release (unless arrangements were made.) All deductibles are made payable to Seminole Toyota Collision. Two and Three party checks must be endorsed by ALL parties prior to vehicle
                being released.</span>
            </label>
          </div><!-- end .form-group -->
        </div>
        <div class="ddc-offset4 ddc-span8">
          <div class="checkbox">
            <label>
              <input type="checkbox" name="_custom=FIELD_CHECKBOXGROUP_E7DBBD5A7FCD4674B200CDF7E561FE5A=0=Vehicle Release Policy"
                data-i-have-read-and-understood-seminole-toyota-collision-release-policy-="FIELD_OPTION_BC27B9734CF54C0889739EE2979F7036"
                data-all-repairs-must-be-paid-in-full-prior-to-vehicle-release-(unless-arrangements-were-made-)-all-deductibles-are-made-payable-to-seminole-toyota-collision--two-and-three-party-checks-must-be-endorsed-by-all-parties-prior-to-vehicle-being-released-="FIELD_OPTION_5980DB6B718748929FDB2D69D88751A8"
                data-required-group="true" class="checkbox" data-id="Vehicle Release Policy" value="I have read and understood Seminole Toyota Collision release policy." aria-describedby="ae_js_radDescripSide2">
              <span>I have read and understood Seminole Toyota Collision release policy.</span>
            </label>
          </div><!-- end .form-group -->
        </div>
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        <span>Type your name in box below for your digital signature.</span>
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        <input type="text" name="_custom=FIELD_AUTORIZATION_TO_REPAIR_DIGITAL_SIGNATURE_3999479817B14805AC780D8196AFD6FC=0=AUTORIZATION_TO_REPAIR_DIGITAL_SIGNATURE" pattern="(^$)|(^.*(\S+).*$)"
          id="d676b8edd76044bd8086e16746a2db75-AUTORIZATION_TO_REPAIR_DIGITAL_SIGNATURE" class="text form-control" data-id="AUTORIZATION_TO_REPAIR_DIGITAL_SIGNATURE" value="" aria-label="">
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      <label for="d676b8edd76044bd8086e16746a2db75-SIGNATURE_DATE" class="ddc-span4 date SIGNATURE-DATE">
        <span>Date</span>
      </label>
      <div class="ddc-span8">
        <input type="text" name="_custom=FIELD_SIGNATURE_DATE_1582156481578=0=SIGNATURE_DATE" data-date-format="mm/dd/yy" pattern="(^$)|(^[0-9]{4}\-[0-9]{1,2}\-[0-9]{1,2}$)|(^[0-9]{1,2}\/[0-9]{1,2}\/[0-9]{4}$)" placeholder="mm/dd/yyyy"
          id="d676b8edd76044bd8086e16746a2db75-SIGNATURE_DATE" class="text date form-control hasDatepicker" data-id="SIGNATURE_DATE" value="" aria-label="">
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      <button class="btn btn-primary ui-button-submit pull-right" type="submit"> Submit </button>
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POST /form/confirm.htm?formId=contact&formEventId=b0f54d2453304756874ccd96d777f7a2&pageAlias=BODYSHOP_LEAD&formTrackingName=contact

<form action="/form/confirm.htm?formId=contact&amp;formEventId=b0f54d2453304756874ccd96d777f7a2&amp;pageAlias=BODYSHOP_LEAD&amp;formTrackingName=contact" method="post" class="validate  form-horizontal" charset="utf8" role="form"
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          <option value="email">Email</option>
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        <span> Comments </span>
      </label>
      <div class="ddc-span8"> <textarea class="form-control textarea" name="comments" id="34b1ee406bf54befa12f5aba4e875299-comments" aria-label=""></textarea>
      </div>
    </div><!-- form-group -->
  </fieldset>
  <div class="form-group clearfix">
    <button class="btn btn-primary ui-button-submit pull-right" type="submit"> Submit </button>
  </div>
  <input type="hidden" name="portalId" id="34b1ee406bf54befa12f5aba4e875299-portalId" class="hidden" data-id="portalId" value="">
  <input type="hidden" name="source" id="34b1ee406bf54befa12f5aba4e875299-source" class="hidden" data-id="source" value="Body Shop">
  <input type="hidden" name="formTrackingName" class="hidden" data-id="" value="contact">
  <input type="hidden" name="custom.form.id" class="hidden" data-id="" value="contact">
  <input type="hidden" name="pageAlias" class="hidden" data-id="" value="BODYSHOP_LEAD">
  <input type="hidden" name="dl.widgetName" class="hidden" data-id="" value="Contact">
  <input type="hidden" name="vk" class="hidden" data-id="" value="uvq2ubvl">
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  <input type="hidden" name="captchaToken" class="hidden" data-id="" value="">
  <input type="hidden" name="captchaVersion" class="hidden" data-id="" value="enterprise">
  <div class="form-group clearfix clear pt-2">
    <div class="ddc-offset4 ddc-span8">
      <div id="recaptcha-container-uvq2ubvl" class="recaptcha-container pull-right"></div>
    </div>
  </div>
  <script type="text/javascript">
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  <div class="hide templates">
    <small class="alert-danger  alert">
      <i aria-hidden="true" class="ddc-icon ddc-icon-alert align-left"></i>
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  <input class="hidden" type="hidden" name="vv" value="uvq2ubvl">
</form>

POST /form/confirm.htm?formId=bodyshop-lead&formEventId=f0f85bb436c94bba9a58b1399ee99dd5&pageAlias=BODYSHOP_LEAD&formTrackingName=bodyshop-lead

<form action="/form/confirm.htm?formId=bodyshop-lead&amp;formEventId=f0f85bb436c94bba9a58b1399ee99dd5&amp;pageAlias=BODYSHOP_LEAD&amp;formTrackingName=bodyshop-lead" method="post" class="validate  form-horizontal" role="form" data-form-id="th3bnoc5"
  data-form-tracking-id="BODYSHOP" data-form-tracking-name="bodyshop-lead" aria-label="Contact Body Shop" data-email-required="false" data-phone-required="false" novalidate="novalidate">
  <input type="hidden" name="_action" class="hidden" data-id="" value="SubmitServiceAppointment">
  <input type="hidden" name="formId" class="hidden" data-id="" value="bodyshop-lead">
  <input type="hidden" name="form.id" class="hidden" data-id="" value="BODYSHOP">
  <input type="hidden" name="formEventId" class="hidden" data-id="" value="f0f85bb436c94bba9a58b1399ee99dd5">
  <fieldset>
    <h2>Contact Information<em aria-hidden="true">*</em></h2>
    <div class="form-group">
      <label for="77944ab8e697455b8eb42a80b9be19a2-contact.firstName" class="ddc-span4 name contact-firstName">
        <span>First Name<em aria-hidden="true">*</em></span>
      </label>
      <div class="ddc-span8">
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          class="text form-control required" required="true" data-id="contact.firstName" value="" autocomplete="given-name">
      </div>
    </div><!-- end .form-group -->
    <div class="form-group">
      <label for="77944ab8e697455b8eb42a80b9be19a2-contact.lastName" class="ddc-span4 name contact-lastName">
        <span>Last Name<em aria-hidden="true">*</em></span>
      </label>
      <div class="ddc-span8">
        <input type="text" name="contact.lastName" pattern="(^$)|(^[a-zA-Z\u00C0-\u00D6\u00D8-\u00F6\u00F8-\u00FF][-a-zA-Z.' \u00C0-\u00D6\u00D8-\u00F6\u00F8-\u00FF]{1,}$)" aria-required="true" id="77944ab8e697455b8eb42a80b9be19a2-contact.lastName"
          class="text form-control required" required="true" data-id="contact.lastName" value="" autocomplete="family-name">
      </div>
    </div><!-- end .form-group -->
    <div class="form-group">
      <label for="77944ab8e697455b8eb42a80b9be19a2-contact.address.street" class="ddc-span4 text contact-address-street">
        <span>Address</span>
      </label>
      <div class="ddc-span8">
        <input type="text" name="contact.address.street" pattern="(^$)|(^.*(\S+).*$)" id="77944ab8e697455b8eb42a80b9be19a2-contact.address.street" class="text form-control" data-id="contact.address.street" value="">
      </div>
    </div><!-- end .form-group -->
    <div class="form-group">
      <label for="77944ab8e697455b8eb42a80b9be19a2-contact.address.city" class="ddc-span4 text contact-address-city">
        <span>City</span>
      </label>
      <div class="ddc-span8">
        <input type="text" name="contact.address.city" pattern="(^$)|(^.*(\S+).*$)" id="77944ab8e697455b8eb42a80b9be19a2-contact.address.city" class="text form-control" data-id="contact.address.city" value="" autocomplete="address-level2">
      </div>
    </div><!-- end .form-group -->
    <div class="form-group">
      <label class="ddc-span4 region contact-address-state" for="77944ab8e697455b8eb42a80b9be19a2-contact.address.state">
        <span> State </span>
      </label>
      <div class="ddc-span8"> <select class="form-control region" name="contact.address.state" id="77944ab8e697455b8eb42a80b9be19a2-contact.address.state">
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            <option value="AK">Alaska</option>
            <option value="AZ">Arizona</option>
            <option value="AR">Arkansas</option>
            <option value="CA">California</option>
            <option value="CO">Colorado</option>
            <option value="CT">Connecticut</option>
            <option value="DE">Delaware</option>
            <option value="DC">District of Columbia</option>
            <option value="FL">Florida</option>
            <option value="GA">Georgia</option>
            <option value="HI">Hawaii</option>
            <option value="ID">Idaho</option>
            <option value="IL">Illinois</option>
            <option value="IN">Indiana</option>
            <option value="IA">Iowa</option>
            <option value="KS">Kansas</option>
            <option value="KY">Kentucky</option>
            <option value="LA">Louisiana</option>
            <option value="ME">Maine</option>
            <option value="MD">Maryland</option>
            <option value="MA">Massachusetts</option>
            <option value="MI">Michigan</option>
            <option value="MN">Minnesota</option>
            <option value="MS">Mississippi</option>
            <option value="MO">Missouri</option>
            <option value="MT">Montana</option>
            <option value="NE">Nebraska</option>
            <option value="NV">Nevada</option>
            <option value="NH">New Hampshire</option>
            <option value="NJ">New Jersey</option>
            <option value="NM">New Mexico</option>
            <option value="NY">New York</option>
            <option value="NC">North Carolina</option>
            <option value="ND">North Dakota</option>
            <option value="OH">Ohio</option>
            <option value="OK">Oklahoma</option>
            <option value="OR">Oregon</option>
            <option value="PA">Pennsylvania</option>
            <option value="RI">Rhode Island</option>
            <option value="SC">South Carolina</option>
            <option value="SD">South Dakota</option>
            <option value="TN">Tennessee</option>
            <option value="TX">Texas</option>
            <option value="UT">Utah</option>
            <option value="VT">Vermont</option>
            <option value="VA">Virginia</option>
            <option value="WA">Washington</option>
            <option value="WV">West Virginia</option>
            <option value="WI">Wisconsin</option>
            <option value="WY">Wyoming</option>
          </optgroup>
          <optgroup label="Territories">
            <option value="GU">Guam</option>
            <option value="PR">Puerto Rico</option>
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        </select>
      </div>
    </div>
    <div class="form-group">
      <label for="77944ab8e697455b8eb42a80b9be19a2-contact.address.postalCode" class="ddc-span4 region contact-address-state postal-code contact-address-postalCode">
        <span>Zip Code</span>
      </label>
      <div class="ddc-span8">
        <input type="number" name="contact.address.postalCode" pattern="(^$)|(^[0-9]{5}(-[0-9]{4})?$)|(^[A-Za-z][0-9][A-Za-z](\s+)?[0-9][A-Za-z][0-9]$)" id="77944ab8e697455b8eb42a80b9be19a2-contact.address.postalCode" class="number form-control"
          data-id="contact.address.postalCode" value="">
      </div>
    </div><!-- end .form-group -->
    <div class="form-group">
      <label for="77944ab8e697455b8eb42a80b9be19a2-contact.preferredContact" class="ddc-span4 preferred-contact contact-preferredContact">
        <span> Contact Me by<em aria-hidden="true">*</em> </span>
      </label>
      <div class="ddc-span8">
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          <option value="phone">Phone</option>
        </select>
      </div>
    </div><!-- end form-group -->
    <div class="form-group">
      <label for="77944ab8e697455b8eb42a80b9be19a2-contact.email" class="ddc-span4 email contact-email">
        <span>Email Address<em aria-hidden="true">*</em></span>
      </label>
      <div class="ddc-span8">
        <input type="email" name="contact.email" pattern="(^$)|(^.*(\S+).*$)" id="77944ab8e697455b8eb42a80b9be19a2-contact.email" class="email form-control required" data-id="contact.email" value="" required="required" aria-required="true"
          autocomplete="email">
      </div>
    </div><!-- end .form-group -->
    <div class="form-group">
      <label for="77944ab8e697455b8eb42a80b9be19a2-contact.phone" class="ddc-span4 phone contact-phone">
        <span>Phone</span>
      </label>
      <div class="ddc-span8">
        <input type="tel" name="contact.phone" pattern="(^$)|(^\+?[1]?[-. ]?\(?[\d]{3}\)?[-. ]?[\d]{3}[-. ]?[\d]{4}[ a-zA-Z0-9.:]{0,20}$)" id="77944ab8e697455b8eb42a80b9be19a2-contact.phone" class="tel form-control" data-id="contact.phone" value=""
          autocomplete="tel">
      </div>
    </div><!-- end .form-group -->
  </fieldset>
  <fieldset>
    <h2>Appointment Information</h2>
    <input type="hidden" name="accountId" id="77944ab8e697455b8eb42a80b9be19a2-accountId" class="hidden" data-id="accountId" value="vtmaustoyota">
    <div class="form-group">
      <label for="77944ab8e697455b8eb42a80b9be19a2-preferredAppointmentDate" class="ddc-span4 date preferredAppointmentDate" role="presentation">
        <span>Preferred Appointment Date</span>
      </label>
      <div class="ddc-span8">
        <input type="text" name="preferredAppointmentDate" data-max-date="" data-min-date="+6" data-date-format="mm/dd/yy" pattern="(^$)|(^[0-9]{4}\-[0-9]{1,2}\-[0-9]{1,2}$)|(^[0-9]{1,2}\/[0-9]{1,2}\/[0-9]{4}$)" placeholder="mm/dd/yyyy"
          id="77944ab8e697455b8eb42a80b9be19a2-preferredAppointmentDate" class="text date form-control hasDatepicker" data-id="preferredAppointmentDate" value="" aria-label="MM/dd/YYYY Preferred Appointment Date">
      </div>
    </div><!-- end .form-group -->
    <div class="form-group">
      <label for="77944ab8e697455b8eb42a80b9be19a2-preferredAppointmentTime" class="ddc-span4 time preferredAppointmentTime">
        <span> Preferred Appointment Time </span>
      </label>
      <div class="ddc-span8">
        <select name="preferredAppointmentTime" data-id="preferredAppointmentTime" id="77944ab8e697455b8eb42a80b9be19a2-preferredAppointmentTime" class="form-control time">
          <option value="">Please Select</option>
          <option value="Anytime">Anytime</option>
          <option value="Morning">Morning</option>
          <option value="Mid-day">Mid-day</option>
          <option value="Afternoon">Afternoon</option>
          <option value="Evening">Evening</option>
        </select>
      </div>
    </div><!-- end form-group -->
  </fieldset>
  <fieldset>
    <h2>Vehicle Information<em aria-hidden="true">*</em></h2>
    <div class="form-group">
      <label for="77944ab8e697455b8eb42a80b9be19a2-year" class="ddc-span4 text year">
        <span>Year<em aria-hidden="true">*</em></span>
      </label>
      <div class="ddc-span8">
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      </div>
    </div><!-- end .form-group -->
    <div class="form-group">
      <label for="77944ab8e697455b8eb42a80b9be19a2-make" class="ddc-span4 text make">
        <span>Make<em aria-hidden="true">*</em></span>
      </label>
      <div class="ddc-span8">
        <input type="text" name="make" pattern="(^$)|(^.*(\S+).*$)" aria-required="true" id="77944ab8e697455b8eb42a80b9be19a2-make" class="text form-control required" required="true" data-id="make" value="">
      </div>
    </div><!-- end .form-group -->
    <div class="form-group">
      <label for="77944ab8e697455b8eb42a80b9be19a2-model" class="ddc-span4 text model">
        <span>Model<em aria-hidden="true">*</em></span>
      </label>
      <div class="ddc-span8">
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      </div>
    </div><!-- end .form-group -->
    <div class="form-group">
      <label for="77944ab8e697455b8eb42a80b9be19a2-mileage" class="ddc-span4 text mileage">
        <span>Mileage</span>
      </label>
      <div class="ddc-span8">
        <input type="text" name="mileage" pattern="(^$)|(^.*(\S+).*$)" id="77944ab8e697455b8eb42a80b9be19a2-mileage" class="text form-control" data-id="mileage" value="">
      </div>
    </div><!-- end .form-group -->
    <div class="form-group">
      <label for="77944ab8e697455b8eb42a80b9be19a2-licensePlate" class="ddc-span4 text licensePlate">
        <span>License Plate</span>
      </label>
      <div class="ddc-span8">
        <input type="text" name="licensePlate" pattern="(^$)|(^.*(\S+).*$)" id="77944ab8e697455b8eb42a80b9be19a2-licensePlate" class="text form-control" data-id="licensePlate" value="">
      </div>
    </div><!-- end .form-group -->
    <div class="form-group">
      <label for="77944ab8e697455b8eb42a80b9be19a2-service" class="ddc-span4 textarea service">
        <span> Type of Service Needed </span>
      </label>
      <div class="ddc-span8"> <textarea class="form-control textarea" name="service" id="77944ab8e697455b8eb42a80b9be19a2-service"></textarea>
      </div>
    </div><!-- form-group -->
    <div class="form-group">
      <label for="77944ab8e697455b8eb42a80b9be19a2-comments" class="ddc-span4 textarea comments">
        <span> Comments </span>
      </label>
      <div class="ddc-span8"> <textarea class="form-control textarea" name="comments" id="77944ab8e697455b8eb42a80b9be19a2-comments"></textarea>
      </div>
    </div><!-- form-group -->
  </fieldset>
  <div class="form-group clearfix">
    <button class="btn btn-primary ui-button-submit pull-right" type="submit"> Submit </button>
  </div>
  <input type="hidden" name="preferredAppointment" id="77944ab8e697455b8eb42a80b9be19a2-preferredAppointment" class="hidden ddc-dynamic-field" data-id="preferredAppointment" value=" at "
    data-val="|preferredAppointmentDate| at |preferredAppointmentTime|">
  <input type="hidden" name="itemId" id="77944ab8e697455b8eb42a80b9be19a2-itemId" class="hidden" data-id="itemId" value="">
  <input type="hidden" name="portalId" id="77944ab8e697455b8eb42a80b9be19a2-portalId" class="hidden" data-id="portalId" value="">
  <input type="hidden" name="source" id="77944ab8e697455b8eb42a80b9be19a2-source" class="hidden" data-id="source" value="Body Shop Center - Dealer.Com Website">
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  <input type="hidden" name="custom.form.id" class="hidden" data-id="" value="bodyshop-lead">
  <input type="hidden" name="pageAlias" class="hidden" data-id="" value="BODYSHOP_LEAD">
  <input type="hidden" name="dl.widgetName" class="hidden" data-id="" value="Contact Body Shop">
  <input type="hidden" name="vk" class="hidden" data-id="" value="th3bnoc5">
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  <input type="hidden" name="captchaVersion" class="hidden" data-id="" value="enterprise">
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      <div id="recaptcha-container-th3bnoc5" class="recaptcha-container pull-right"></div>
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    <small class="alert-danger  alert">
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  <input class="hidden" type="hidden" name="vv" value="th3bnoc5">
</form>

<form id="cn-chat-question-form"> <input type="text" placeholder="Ask a question?" aria-label="Ask a question?" id="cn-chat-question" name="q"> <button type="submit" class="cn-b13-submit" title="Send"
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<form id="cn-chat-question-form"> <input type="text" placeholder="Ask a question?" aria-label="Ask a question?" id="cn-chat-question" name="q"> <button type="submit" class="cn-b13-submit" title="Send"
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Text Content

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1160 Rinehart Road
Directions Sanford, FL 32771


 * Sales: 855-979-3718

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STRUCTURE MY DEAL RECENT ACTIVITY

Trade-in Estimate
Not submitted {{ template.offer }}{{ template.vehicleName }}
Est. Payment
Not submitted Finance for {{ template.monthlyPayment }}/mo.{{ template.term }}
months at {{ template.apr }} APR|Lease for {{ template.monthlyPayment }}/mo.{{
template.term }} months, {{ template.annualMiles }} annual miles|{{
template.title }}{{ template.description }}
Prequalification
Not submitted SubmittedReference #{{ template.referenceNumber }} You applied for
credit instead
Credit Application
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Protection Plans
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We buy cars... Click here to find out how much your ride might be worth.


BODY SHOP

 


YOUR LOCAL COLLISION & AUTO BODY REPAIR SHOP

Are you in need of affordable and trustworthy body work or other mechanical
repairs following an accident? Our Toyota Collision Center near Orlando, Florida
is just what you're looking for! Our factory-trained and qualified Toyota
technicians are equipped with state-of-the-art tools and will take care of all
your auto body repair needs to get your car ready to take on the road again.

Don't have a Toyota? Not a problem. While we are a Toyota approved body shop,
our staff can repair any make and model.

It's a minor scratch or major frame repair, we make sure the job is done right
to ensure the safety, performance, and beauty of your vehicle. Seminole Toyota's
collision center also offers a warranty on all repairs and parts, and we work
with all insurance companies. We'll even handle communications with your insurer
to help streamline your experience and take the stress off your shoulders.


GET BACK ON THE ROAD WITH CONFIDENCE

Our Toyota certified body shop is here to help get your car back in pristine
condition with collision and paint repair services including but not limited to:

 * Ding, dent and scratch repair
 * Windshield and glass repair
 * Frame repair
 * Major body work
 * Paint jobs
 * Wheel alignments

We strive to be the best auto body shop near the Orlando area, which is why we
offer perks for our customers such as free shuttle service and no-cost repair
estimates. Furthermore, our facility includes a waiting area with several
amenities, including comfortable seating, large TVs, free refreshments and
complimentary Wi-Fi.

We also offer convenient hours to accommodate those with busy schedules. We're
open Monday through Friday from 7:30 a.m. to 6 p.m. and Saturday from 9 a.m. to
1 p.m. Come visit our Toyota body shop in Sanford, Florida during business hours
or schedule an appointment with us online. Also feel free to give us a call if
you'd like more information about all of the services offered at our collision
center.




REPAIR AUTHORIZATION


AUTHORIZATION FORM*

First Name*

Last Name*

Email*

Telephone*
Please Select Home Phone Cell Phone
Cell Phone*

Available for Text Updates?*
Please Select YES NO


I AGREE TO RECEIVE TEXT MESSAGES FROM SEMINOLE TOYOTA COLLISION. I UNDERSTAND
THAT MESSAGE AND DATA RATES MAY APPLY.


VEHICLE INFORMATION*

Year*

Make*

Model*

AUTORIZATION_TO_REPAIR_CHECKBOX2*
I hereby authorize Seminole Toyota Collision Center to make the specified
repairs. I understand that FULL payment will be due upon release of the vehicle,
including additional supplement damage charges.
I hereby grant Seminole Toyota Collision employees permission to operate the
vehicle on streets, highways or elsewhere for purposes of testing and/or
inspection. An express mechanics lien is hereby acknowledged on the vehicle to
secure the amount of repairs.
Seminole Toyota Collision will dispose of old parts removed from the vehicle
unless otherwise instructed. I understand that a 15% parts restocking fee may be
charged to me should I fail to keep my appointment within 30 days.
SEMINOLE TOYOTA COLLISION WILL NOT BE HELD RESPONSIBLE FOR ANY LOSS OR DAMAGE TO
VEHICLE OR ARTICLES LEFT IN THE VEHICLE IN CASE OF FIRE, THEFT, ACCIDENT OR ANY
OTHER CAUSE THAT IS NOT DUE TO THE NEGLIGENCE OF SEMINOLE TOYOTA COLLISION OR
ITS EMPLOYEES.


POWER OF ATTORNEY*

Please Check*
I do hereby appoint Seminole Toyota Collision to act as Power of Attorney in the
fact to accept on my behalf any and all checks, drafts, bills and to all such
credit on my account for repairs to my vehicle. I authorize any and all
supplemental charges to be made payable to Seminole Toyota Collision.


VEHICLE RELEASE POLICY*

Please Check*
All repairs must be paid in full prior to vehicle release (unless arrangements
were made.) All deductibles are made payable to Seminole Toyota Collision. Two
and Three party checks must be endorsed by ALL parties prior to vehicle being
released.
I have read and understood Seminole Toyota Collision release policy.
Type your name in box below for your digital signature.

Date

Submit




RELATED LINKS

 * Body Shop Specials
 * Directions


CONTACT

First Name*

Last Name*

Contact Me by*
Email Phone
Email*

Cell Phone

Comments

Submit




HOURS

 * Monday - Friday 8:00 am - 6:00 pm
 * Saturday 9:00 am - 1:00 pm
 * Sunday Closed

See All Department Hours


CONTACT

Seminole Toyota

1160 Rinehart Road
Directions Sanford, FL 32771


 * Sales: 855-979-3718


CONTACT BODY SHOP


CONTACT INFORMATION*

First Name*

Last Name*

Address

City

State
Select State Alabama Alaska Arizona Arkansas California Colorado Connecticut
Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa
Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota
Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico
New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode
Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia
Washington West Virginia Wisconsin Wyoming Guam Puerto Rico
Zip Code

Contact Me by*
Email Phone
Email Address*

Phone



APPOINTMENT INFORMATION

Preferred Appointment Date

Preferred Appointment Time
Please Select Anytime Morning Mid-day Afternoon Evening


VEHICLE INFORMATION*

Year*

Make*

Model*

Mileage

License Plate

Type of Service Needed

Comments

Submit




*TAXES, TITLE, REGISTRATION, ADMINISTRATIVE FEES AND DEALER FEE OF $899.50 NOT
INCLUDED. THESE CHARGES REPRESENT COSTS AND PROFIT TO THE DEALER FOR ITEMS SUCH
AS INSPECTING, CLEANING, AND ADJUSTING VEHICLES, AND PREPARING DOCUMENTS RELATED
TO THE SALE. PRICES INCLUDE THE LISTED FACTORY REBATES AND INCENTIVES. PLEASE
VERIFY ALL INFORMATION. WE ARE NOT RESPONSIBLE FOR TYPOGRAPHICAL, TECHNICAL, OR
MISPRINT ERRORS. INVENTORY IS SUBJECT TO PRIOR SALE. CONTACT US VIA PHONE OR
EMAIL FOR MORE DETAILS.


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Hoursclose


DEALERSHIP_HOURS

 * Monday 9:00 am - 9:00 pm
 * Tuesday 9:00 am - 9:00 pm
 * Wednesday 9:00 am - 9:00 pm
 * Thursday 9:00 am - 9:00 pm
 * Friday 9:00 am - 9:00 pm
 * Saturday 9:00 am - 9:00 pm
 * Sunday 11:00 am - 7:00 pm


PARTS DEPT. HOURS

 * Monday 7:00 am - 7:00 pm
 * Tuesday 7:00 am - 7:00 pm
 * Wednesday 7:00 am - 7:00 pm
 * Thursday 7:00 am - 7:00 pm
 * Friday 7:00 am - 7:00 pm
 * Saturday 7:00 am - 5:00 pm
 * Sunday Closed


SERVICE DEPT. HOURS

 * Monday 7:00 am - 7:00 pm
 * Tuesday 7:00 am - 7:00 pm
 * Wednesday 7:00 am - 7:00 pm
 * Thursday 7:00 am - 7:00 pm
 * Friday 7:00 am - 7:00 pm
 * Saturday 7:00 am - 5:00 pm
 * Sunday Closed


BODY SHOP HOURS

 * Monday 8:00 am - 6:00 pm
 * Tuesday 8:00 am - 6:00 pm
 * Wednesday 8:00 am - 6:00 pm
 * Thursday 8:00 am - 6:00 pm
 * Friday 8:00 am - 6:00 pm
 * Saturday 9:00 am - 1:00 pm
 * Sunday Closed


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the future, unless I opt-out from such communications. I also agree to the Terms
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