The following shops are open on Saturdays by appointment only.

Please fill out the following form for Saturday appointments. We will do our best to schedule you in under your preferred appointment time, but please remember appointments are set by first come, first served. A representative from Mike Rose's Auto Body, Inc. will contact you via your preferred contact method to confirm appointment, or set up a different time, if preferred appointment is booked. (If after 5pm on Friday, please contact shop directly to schedule a Saturday appointment)
*required field

Name and Contact Information:
*First Name A value is required.
*Last Name A value is required.

Preferences:
*Preferred Contact Method
Phone
Email Please make a selection.

*Preferred Location Concord - VDM Walnut Creek - N. Main Pittsburg Brentwood Fairfield Please select an item.

*Preferred Appointment Time A value is required.

Car Information:
*Year 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 Please select an item. *Make A value is required. *Model A value is required.

Other:
Insurance Company(if applicable) *Accident Date A value is required.

*Description Of Loss
A value is required.