Sternberg Collison Repair Center

1202 3rd Ave.
Jasper, IN 47546
Get Driving Directions

Request a Collision Repair Appointment

Please use the following form to request an appointment. Please input data in all fields that apply to process a quick response to your submission.

Requested Date:
Pick a date
Time of day:

Contact Information

*First Name:
*Last Name:
Company:
D.B.A.:
Address:
City:
State:
Zip:
*Email:
Phone:

Vehicle Information

Year:
Make:
Model:
Unit #:
VIN #:
Job Type:
Billing Method:
Purchase Order Number:
Describe services requested: