collisioncare.pixeld.website
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149.28.164.134
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URL:
https://collisioncare.pixeld.website/
Submission: On September 05 via api from US — Scanned from AU
Submission: On September 05 via api from US — Scanned from AU
Form analysis
1 forms found in the DOMPOST /
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data-js-reload="field_1_1"><label class="gfield_label gform-field-label" for="input_1_1">First Name<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_1" id="input_1_1" type="text" value="" class="large" placeholder="First Name*" aria-required="true" aria-invalid="false"> </div>
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data-js-reload="field_1_3"><label class="gfield_label gform-field-label" for="input_1_3">Last Name<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_3" id="input_1_3" type="text" value="" class="large" placeholder="Last Name*" aria-required="true" aria-invalid="false"> </div>
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data-js-reload="field_1_4"><label class="gfield_label gform-field-label" for="input_1_4">Phone<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></label>
<div class="ginput_container ginput_container_phone"><input name="input_4" id="input_1_4" type="tel" value="" class="large" placeholder="Phone Number*" aria-required="true" aria-invalid="false"></div>
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<div id="field_1_5"
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data-js-reload="field_1_5"><label class="gfield_label gform-field-label" for="input_1_5">Email<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></label>
<div class="ginput_container ginput_container_email">
<input name="input_5" id="input_1_5" type="email" value="" class="large" placeholder="Email Address*" aria-required="true" aria-invalid="false">
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data-js-reload="field_1_8"><label class="gfield_label gform-field-label" for="input_1_8">Registration Number<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_8" id="input_1_8" type="text" value="" class="large" placeholder="Vehicle Registration*" aria-required="true" aria-invalid="false"> </div>
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<div id="field_1_6"
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data-js-reload="field_1_6"><label class="gfield_label gform-field-label" for="input_1_6">Make<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_6" id="input_1_6" type="text" value="" class="large" placeholder="Vehicle Make*" aria-required="true" aria-invalid="false"> </div>
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<div id="field_1_7"
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data-js-reload="field_1_7"><label class="gfield_label gform-field-label" for="input_1_7">Model<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_7" id="input_1_7" type="text" value="" class="large" placeholder="Vehicle Model*" aria-required="true" aria-invalid="false"> </div>
</div>
<div id="field_1_9" class="gfield gfield--type-textarea gfield--input-type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible"
data-js-reload="field_1_9"><label class="gfield_label gform-field-label" for="input_1_9">Accident Description<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></label>
<div class="ginput_container ginput_container_textarea"><textarea name="input_9" id="input_1_9" class="textarea large" placeholder="Please provide as much detail as possible about your accident.*" aria-required="true" aria-invalid="false"
rows="10" cols="50"></textarea></div>
</div>
<fieldset id="field_1_14"
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data-js-reload="field_1_14">
<legend class="gfield_label gform-field-label">Claim Type<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
<div class="ginput_container ginput_container_radio">
<div class="gfield_radio" id="input_1_14">
<div class="gchoice gchoice_1_14_0">
<input class="gfield-choice-input" name="input_14" type="radio" value="Insurance Claim" id="choice_1_14_0" onchange="gformToggleRadioOther( this )">
<label for="choice_1_14_0" id="label_1_14_0" class="gform-field-label gform-field-label--type-inline">Insurance Claim</label>
</div>
<div class="gchoice gchoice_1_14_1">
<input class="gfield-choice-input" name="input_14" type="radio" value="Private" id="choice_1_14_1" onchange="gformToggleRadioOther( this )">
<label for="choice_1_14_1" id="label_1_14_1" class="gform-field-label gform-field-label--type-inline">Private</label>
</div>
</div>
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<div id="field_1_10" class="gfield gfield--type-fileupload gfield--input-type-fileupload field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_1_10"><label
class="gfield_label gform-field-label" for="html5_1i717rjo1858t8lfpm1kb1b693">Upload any photos or documents</label>
<div class="ginput_container ginput_container_fileupload">
<div id="gform_multifile_upload_1_10"
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<div id="gform_drag_drop_area_1_10" class="gform_drop_area gform-theme-field-control" style="position: relative;">
<span class="gform_drop_instructions">Drop files here or </span>
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aria-label="select files, upload any photos or documents">Select files</button>
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id="html5_1i717rjo1858t8lfpm1kb1b693" type="file" style="font-size: 999px; opacity: 0; position: absolute; top: 0px; left: 0px; width: 100%; height: 100%;" multiple="" accept="" tabindex="-1" aria-hidden="true"></div>
</div><span class="gfield_description gform_fileupload_rules" id="gfield_upload_rules_1_10">Max. file size: 50 MB, Max. files: 20.</span>
<ul class="validation_message--hidden-on-empty gform-ul-reset" id="gform_multifile_messages_1_10"></ul> <!-- Leave <ul> empty to support CSS :empty selector. -->
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<div class="gform_footer before"> <input type="submit" id="gform_submit_button_1" class="gform_button button" value="Submit Enquiry"
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<input type="hidden" name="gform_uploaded_files" id="gform_uploaded_files_1" value="">
</div>
</form>
Text Content
YOUR TRUSTED AUTOBODY SPECIALISTS Experience unparalleled service and expertise with our team of manufacturer-trained technicians, dedicated to restoring your vehicle to its pristine condition. Find a Location Get a Quote Approved Collision Care BODY & PAINT CERTIFIED REPAIRER APPROVED BODY & PAINT REPAIRER I-CAR® Gold Class™ certified LOCATIONS GEELONG COLLISION CARE 101-103 Douro Street, North Geelong, VIC 3215 (03) 5272 1897 info@collisioncare.com.au EURO COLLISION CARE 71-81 Boundary Road, North Melbourne, VIC 3051 (03) 9372 0645 euro@collisioncare.com.au MURWILLUMBAH COLLISION REPAIR CENTRE 12 Quarry Road, Murwillumbah, NSW 2484 (02) 6672 1555 mcrc@collisioncare.com.au ALBURY / WODONGA AUTOBODY SPECIALISTS 14 Reid Street, Wodonga, VIC 3690 (02) 6024 4820 awa@collisioncare.com.au MELTON AUTOBODY 12 Collins Rd, Melton, VIC 3337 (03) 9746 9988 melton@collisioncare.com.au ROCKHAMPTON AUTOBODY 32 Old Capricorn Hwy Gracemere, QLD 4702 (07) 4933 2995 rockhampton@collisioncare.com.au GEELONG TOWING CARE (VIC WIDE) (03) 5272 1897 towing@collisioncare.com.au MANUFACTURER APPROVED REPAIRER Comprehensive Collision Care EXPERT ACCIDENT REPAIRS SPECIALISTS We ensure your vehicle is restored to its original condition with precision and care. At Collision Care, our skilled technicians use state-of-the-art equipment and techniques to deliver top-quality repairs. We handle everything from minor dents to major accident damage, ensuring your car looks and performs like new. Our comprehensive services include detailed inspections, precise repairs, and thorough quality checks. We work with all major insurance companies to make the repair process seamless and hassle-free. Get a Quote Unmatched Customer Convenience YOUR TRUSTED LUXURY AUTOBODY SPECIALISTS We prioritise your convenience with services designed to fit your busy lifestyle. Collision Care offers a range of customer-focused services, including offsite quoting and contactless pick-up and delivery. Our aim is to provide you with the utmost convenience during the repair process. Enjoy our comfortable customer lounge while we handle your vehicle, or take advantage of our courtesy loan cars to stay on the move. We’re here to make your experience as smooth and stress-free as possible. Get a Quote GET A QUOTE First Name(Required) Last Name(Required) Phone(Required) Email(Required) Registration Number(Required) Make(Required) Model(Required) Accident Description(Required) Claim Type(Required) Insurance Claim Private Upload any photos or documents Drop files here or Select files Max. file size: 50 MB, Max. files: 20. © 2024 Collision Care GROUP | All rights reserved | Website by PIXELD Notifications